Volume 23 Issue 8
Aug.  2025
Turn off MathJax
Article Contents
HUANG Li, LI Min, HUANG Mi, ZHANG Chen. The effect of quantitative rehabilitation training guided by the concept of empowerment on postoperative rehabilitation in patients with osteoporotic hip fracture[J]. Chinese Journal of General Practice, 2025, 23(8): 1324-1327. doi: 10.16766/j.cnki.issn.1674-4152.004125
Citation: HUANG Li, LI Min, HUANG Mi, ZHANG Chen. The effect of quantitative rehabilitation training guided by the concept of empowerment on postoperative rehabilitation in patients with osteoporotic hip fracture[J]. Chinese Journal of General Practice, 2025, 23(8): 1324-1327. doi: 10.16766/j.cnki.issn.1674-4152.004125

The effect of quantitative rehabilitation training guided by the concept of empowerment on postoperative rehabilitation in patients with osteoporotic hip fracture

doi: 10.16766/j.cnki.issn.1674-4152.004125
Funds:

 2023AFD141

  • Received Date: 2025-02-18
    Available Online: 2025-10-31
  •   Objective  To explore the effects of quantitative rehabilitation training guided by the concept of empowerment on the postoperative rehabilitation of patients with osteoporotic hip fracture, in order to provide reference for patients with rapid postoperative rehabilitation.  Methods  The relevant data of 120 patients with osteoporotic hip fracture who underwent total hip arthroplosty in Wuhan First hospital from June 2022 to June 2024 were collected and divided into the control group (n=57, quantitative rehabilitation training) and the study group (n=63, quantitative rehabilitation training + rehabilitation training guidance based on the concept of empowerment) according to different intervention method. Fear-avoidance belief, self-efficacy, hip function, and quality of life were compared between the two groups.  Results  After intervention, the study group had lower scores of physical activity and work-fear avoidance belief than the other group [(11.07±3.12) points and (20.88±4.82) points vs. (17.21±3.64) points and (31.84±5.39) points, F=787.801, 931.311, P<0.001], while higher scores of coping and physical exercise self-efficacy [(44.62±4.39) points and (42.83±3.05) points vs. (36.17±6.01) points and (35.11±3.81) points, F=701.077, 974.633, P<0.001]; The scores of hip joint function in the study group were higher, and the scores of quality of life were also higher (P<0.05).  Conclusion  Quantitative rehabilitation training guided by the concept of empowerment can significantly reduce the fear avoidance belief of patients with osteoporotic hip fracture after total hip arthroplosty, and promote the rehabilitation of joint function.

     

  • loading
  • [1]
    曾颖梅, 涂丽莎, 杨枝, 等. 中老年人群骨折风险与骨密度、骨代谢指标的相关性研究[J]. 中国骨质疏松杂志, 2024, 30(6): 836-841.

    ZENG Y M, TU L S, YANG Z, et al. Correlation study between the fracture risk assessment FRAX and bone mineral density, bone metabolism biochemical markers in the middle-aged and elderly people[J]. Chin J Osteopor, 2024, 30(6): 836-841.
    [2]
    佟梦琦, 王姗, 王郝, 等. APACHE Ⅱ、SOFA及aCCI评分对重症老年髋部骨折术后患者预后的评估价值[J]. 贵州医科大学学报, 2024, 49(10): 1542-1548.

    TONG M Q, WANG S, WANG H, et al. Evaluation of APACHE Ⅱ, SOFA, and aCCI scores in prognosis of elderly patients with critical hip fractures after surgery[J]. J Guizhou Med Univ, 2024, 49(10): 1542-1548.
    [3]
    KUYL E V, AGARWAL A R, PATEL P K, et al. Osteoporotic patients undergoing total hip arthroplasty have a similar 5-year cumulative incidence rate of periprosthetic fracture regardless of cemented versus cementless femoral stem fixation[J]. J Arthroplasty, 2024, 39(5): 1285-1290. doi: 10.1016/j.arth.2023.11.001
    [4]
    张莉, 张子茹, 张彩蕾, 等. 全膝关节置换术患者恐动症水平变化轨迹及影响因素分析[J]. 护士进修杂志, 2024, 39(9): 904-911.

    ZHANG L, ZHANG Z R, ZHANG C L, et al. Change trajectory and influencing factors of kinesiophobia level in patients with total knee arthroplasty[J]. J Nurs Train, 2024, 39(9): 904-911.
    [5]
    顾翠英, 戴丽丽, 刘芬莲. 基于微信平台的量化康复训练对胫骨平台骨折术后膝关节功能和康复积极性的影响[J]. 检验医学与临床, 2022, 19(17): 2407-2410.

    GU C Y, DAI L L, LIU F L. Quantifying the impact of rehabilitation training based on wechat platform on knee function and rehabilitation enthusiasm after tibial plateau fracture[J]. Lab Med Clin, 2022, 19(17): 2407-2410.
    [6]
    郭茜, 李明朴, 吴昌霞, 等. 基于CICARE沟通模式的赋能护理模式对老年髋骨骨折患者术后恐动症及跌倒恐惧心理的影响[J]. 海南医学, 2023, 34(13): 1942-1946.

    GUO Q, LI M P, WU C X, et al. Effects of empowerment nursing based on CICARE communication mode on postoperative kinesiophobia and fear of falling in elderly patients with hip fractures[J]. Hainan Med J, 2023, 34(13): 1942-1946.
    [7]
    MBADA C, IDOWU O, AWOSUNLE G, et al. Translation, cultural adaptation, and psychometric testing of the Yoruba version of fear-avoidance beliefs questionnaire in patients with low-back pain[J]. Disabil Rehabil, 2021, 43(6): 846-852. doi: 10.1080/09638288.2019.1641849
    [8]
    王海燕, 许燕玲, 胡三莲, 等. 中文版康复自我效能感量表的信效度评价[J]. 中华现代护理杂志, 2014, 20(3): 268-270.

    WANG H Y, XU Y L, HU S L, et al. Evaluation of the reliability and validity of Chinese version self-efficacy for rehabilitation outcome scale[J]. Chin J Mod Nurs, 2014, 20(3): 268-270.
    [9]
    夏振兰, 何冰, 范梅霞, 等. 中文版牛津髋关节功能量表信效度评价[J]. 护理学报, 2012, 19(5): 23-25.

    XIA Z L, HE B, FAN M X, et al. Reliability and validity of Chinese version of Oxford hip score[J]. J Nurs, 2012, 19(5): 23-25.
    [10]
    汪向东, 姜长青, 马弘. 心理卫生评定量表手册(增订版)[M]. 北京: 中国心理卫生杂志社, 1999: 88-95.

    WANG X D, JIANG C Q, MA H. Mental health rating scale manual (updated edition)[M]. Beijing: Chin J Mental Health, 1999: 88-95.
    [11]
    SING C W, LIN T C, BARTHOROMEW S, et al. Global epidemiology of hip fractures: secular trends in incidence rate, post-fracture treatment, and all-cause mortality[J]. J Bone Miner Res, 2023, 38(8): 1064-1075. doi: 10.1002/jbmr.4821
    [12]
    张嘉, 杨保仲, 管晓东. 老年全髋关节置换术患者实施加速康复外科麻醉管理措施的临床研究[J]. 中华全科医学, 2023, 21(1): 62-65. doi: 10.16766/j.cnki.issn.1674-4152.002812

    ZHANG J, YANG B Z, GUAN X D. Implementation of ERAS anaesthesia management measures in elderly patients undergoing total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 62-65. doi: 10.16766/j.cnki.issn.1674-4152.002812
    [13]
    SMITH T O, BROWN O, BAXTER M A. Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography[J]. Osteoporos Int, 2024, 35(6): 939-950. doi: 10.1007/s00198-024-07030-7
    [14]
    毕飞, 谢瑛, 仇莹莹, 等. 个体化康复训练对老年骨质疏松性髋部骨折患者的影响[J]. 实用骨科杂志, 2023, 29(6): 572-575.

    BI F, XIE Y, QIU Y Y, et al. Effect of individualized rehabilitation training on elderly patients with osteoporotic hip fracture[J]. J Pract Orthop, 2023, 29(6): 572-575.
    [15]
    杨洁, 张哲, 邢峰丽, 等. 康复锻炼结合赋能教育指导下的八段锦练习对骨质疏松椎体骨折患者术后康复的影响[J]. 环球中医药, 2022, 15(12): 2467-2470.

    YANG J, ZHANG Z, XING F L, et al. Effect of rehabilitation exercise combined with Baduanjin exercise guided by empowerment education on postoperative rehabilitation of patients with osteoporotic vertebral fractures[J]. Global Tradit Chin Med, 2022, 15(12): 2467-2470.
    [16]
    芮立美, 高学姣, 朱红涛, 等. 赋能教育在中青年冠心病患者PCI术后的应用效果研究[J]. 现代医学, 2022, 50(11): 1451-1455.

    RUI L M, GAO X J, ZHU H T, et al. Application effect of enabling education in young and middle-aged patients with coronary heart disease after PCI[J]. Mod Med J, 2022, 50(11): 1451-1455.
    [17]
    杨支兰, 郝雯君, 姚太平, 等. 基于赋能理论的居家康复锻炼方案在老年膝骨关节炎病人中的应用效果[J]. 护理研究, 2023, 37(3): 539-542.

    YANG Z L, HAO W J, YAO T P, et al. Application effect of home rehabilitation exercise program based on empowerment theory in elderly patients with knee osteoarthritis[J]. Chin Nurs Res, 2023, 37(3): 539-542.
    [18]
    王霞, 袁红, 高丽萍. 系统化快速康复训练在老年股骨颈骨折患者术后的应用效果[J]. 中国医药导报, 2024, 21(1): 181-184, 189.

    WANG X, YUAN H, GAO L P. Application effect of systematic rapid rehabilitation training in elderly patients with femoral neck fracture after operation[J]. Chin Med Herald, 2024, 21(1): 181-184, 189.
    [19]
    张诗晴. 赋能教育结合激励式心理干预对经皮冠状动脉介入术术后患者情绪状态、自我效能和康复依从性的影响[J]. 临床与病理杂志, 2023, 43(6): 1266-1273.

    ZHANG S Q. Effects of empowerment education combined with incentive psychological nursing on emotional state, self-efficacy, and rehabilitation exercise compliance of patients after percutaneous coronary intervention[J]. J Clin Pathol Res, 2023, 43(6): 1266-1273.
    [20]
    王荣, 张爽爽, 丰花, 等. 基于LEARNS模式的康复训练对髋部骨折患者术后功能恢复的影响[J]. 川北医学院学报, 2023, 38(3): 417-420.

    WANG R, ZHANG S S, FENG H, et al. Effect of rehabilitation training based on LEARNS model on postoperative functional recovery of patients with hip fracture[J]. J North Sichuan Med Coll, 2023, 38(3): 417-420.
    [21]
    周惠子, 余新颜, 吴莹莹. 基于目标导向的康复训练对髋部骨折患者术后功能恢复的影响[J]. 川北医学院学报, 2024, 39(5): 712-716.

    ZHOU H Z, YU X Y, WU Y Y. Effect of goal-oriented rehabilitation training on postoperative functional recovery in patients with hip fracture[J]. J North Sichuan Med Coll, 2024, 39(5): 712-716.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (2) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return