以Cameron适时干预模式为基础的健康管理方案在全髋关节置换术患者中的应用
| 作者: |
1刘小艳,
1杨函,
1章爽
1 西南医科大学附属医院骨科，四川 泸州 646000 |
| 通讯: |
刘小艳
Email: liuxiaoyan19@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2017.05.023 |
摘要
目的：探讨以Cameron适时干预(“Timing it right”，TIR)模式为基础的健康管理方案对全髋关节置换术(total hip replacement，THR)患者的改善效果。方法：采用方便抽样的方法选择在西南医科大学附属医院治疗的THR患者作为研究对象，对照组采用常规的健康教育指导，观察组采用以Cameron TIR模式为基础的健康管理方案进行全程干预；统计分析两组患者干预前后的Harris髋关节功能评分、生命质量[简明健康状况评估表(Short Form 36-item Health Survey，SF-36)]评分、康复锻炼依从性及临床并发症的发生情况。结果：干预前两组患者的Harris髋关节功能总分及各维度得分、SF-36得分差异无统计学意义(P>0.05)；除畸形维度以外，干预1，3，6个月后观察组在上述指标的得分均明显高于对照组，差异具有统计学意义(P<0.05)；观察组的康复锻炼依从性明显高于对照组(P<0.05)，临床并发症的发生率差异无统计学意义(P>0.05)。结论：以Cameron TIR模式为基础的健康管理方案能有效提升THR术患者的康复锻炼依从性，改善关节功能及生命质量，减少临床不良并发症的发生率。
关键词：
关节置换
髋关节
适时干预
健康管理
Application of the health management scheme based on Cameron timing it right to total hip replacement patients
CorrespondingAuthor: LIU Xiaoyan Email: liuxiaoyan19@126.com
DOI: 10.3978/j.issn.2095-6959.2017.05.023
Abstract
Objective: To study and analyze the effect of the health management scheme based on Cameron timing it right on improving the rehabilitation of total hip replacement (THR) patients. Methods: THR patients treated in Affiliated Hospital of Southwest Medical University were selected as the research objects in way of convenience sampling. The control group adopted routine health education and instruction, while the observation adopted the health management scheme based on Cameron timing it right for whole-process intervention. Harris hip joint function score, QOL score [Short Form 36-item Health Survey (SF-36)], rehabilitation exercise compliance and occurrence of clinical complications of the two groups before and after intervention were collected and analyzed. Results: Total score of Harris hip joint function and scores of all of its dimensions as well as SF-36 score of the two groups before intervention were not of statistical significance (P>0.05). However, the scores of all dimensions other than malformation of the observation group in the 1st, 3rd and 6th month after intervention were obviously higher than those of the control group, and the differences were of statistical significance (P<0.05). Rehabilitation exercise compliance of the observation group was evidently higher than that of the control group (P<0.05). There was no evident difference in occurrence of clinical complications (P>0.05). Conclusion: The health management scheme based on Cameron timing it right can effectively improve rehabilitation exercise compliance, joint function and QOL of THR patients and decrease the occurrence rate of adverse clinical complications.