摘要
目的了解低阻力弹力带训练对老年退行性膝关节炎患者下肢功能与健康相关生命质量的影响。方法将79例老年退行性膝关节炎患者以随机数字法分为观察组40例和对照组39例。观察组为期12周,每周2次的低阻力弹力带训练;对照组为常规护理措施。采用下肢功能测评量表、健康相关生命质量量表为评价工具,并依据所测得的有效数据进行统计分析。结果2组干预前下肢功能的步态平衡、等张收缩、膝部肌力比较差异无统计学意义(P>0.05);观察组干预12周后下肢功能的步态平衡、等张收缩、膝部肌力分别为(4.63±0.07)、(4.57±0.08)、(4.53±0.44)分,对照组分别为(3.60±0.23)、(3.59±0.12)、(3.86±0.09)分,2组比较差异有统计学意义(t=1.982、1.968、2.356,均P<0.05)。2组干预前健康相关生命质量的关节活动、身体功能、社会互动、情绪状态、心智健康得分比较差异无统计学意义(P>0.05);观察组干预后健康相关生命质量的关节活动、身体功能、社会互动、情绪状态、心智健康得分分别为(4.48±0.12)、(4.57±0.22)、(4.38±0.57)、(4.29±0.29)、(4.33±0.41)分,对照组分别为(3.46±0.52)、(3.48±0.25)、(3.59±0.97)、(3.45±0.83)、(3.51±0.52)分,2组比较差异有统计学意义(t=2.405~3.564,均P<0.01)。结论对老年人患者而言,低阻力弹力带训练在操作上简单易学,安全性与实用性也较高,能够作为提高老年退行性膝关节炎患者的下肢功能与健康相关生命质量的参考。
Objective Understand the effects of low-resistance elastic band exercise on lower limb function and health-related quality of life in elderly with degenerative knee arthritis.Methods The 79 patients with degenerative knee arthritis were randomly divided into observation group(40 cases)and control group(39 cases).In the observation group,low-resistance elastic bands were exercised for 12 weeks and 2 times per week.In the control group,routine care measures.The following limb function assessment scales and health-related quality of life scales were evaluation tools,and statistical analysis was performed based on the measured data.Results There was no significant difference in the score of gait balance,isotonic contraction,knee muscle strength of lower extremity function before intervention between the two groups(P>0.05).The score of gait balance,isotonic contraction,knee muscle strength of lower extremity function after intervention was(4.63±0.07),(4.57±0.08),(4.53±0.44)points in the observation group,and(3.60±0.23),(3.59±0.12),(3.86±0.09)points in the control group,and there was significant difference between the two groups(t=1.982,1.968,2.356,all P<0.05).There was no significant difference in the score of joint activities,body function,social interaction,emotional state,mental health of quality of life before intervention between the two groups(P>0.05).The score of joint activities,body function,social interaction,emotional state,mental health of quality of life after intervention was(4.48±0.12),(4.57±0.22),(4.38±0.57),(4.29±0.29),(4.33±0.41)points in the observation group,and(3.46±0.52),(3.48±0.25),(3.59±0.97),(3.45±0.83),(3.51±0.52)points in the control group,and there was significant difference between the two groups(t=2.405-3.564,all P<0.01).Conclusions For elderly,low-resistance elastic band exercise is easy to learn in operation,safety and practicality are also higher,as a reference to improve the lower limb function and health-related quality of life in elderly patients with degenerative knee.
作者
陈婉萍
陈美君
骆俊宏
Chen Wanping;Chen Meijun;Luo Junhong(School of Nursing, Quanzhou Medical College, Quanzhou 362000, China;Department cf Orthopaedics,Quanzhou First Hospital of Fujian Province, Quanzhou 362000, China)
出处
《中国实用护理杂志》
2019年第12期892-897,共6页
Chinese Journal of Practical Nursing
基金
福建省中青年教师教育科研基金项目(JAT171154).
关键词
生活质量
退行性膝关节炎
低阻力弹力带训练
下肢功能
Quality of life
Degenerative knee arthritis
Low resistance training using elastic band
Lower extremity
