《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (4): 491-496.doi: 10.3969/j.issn.1006-9771.2023.04.016

• 应用研究 • 上一篇    

全膝关节置换术围手术期作业治疗的效果

赵婧, 吴鸣(), 倪朝民, 张阳, 崔俊才   

  1. 中国科学技术大学附属第一医院(安徽省立医院),安徽合肥市 230001
  • 收稿日期:2022-10-08 修回日期:2023-02-01 出版日期:2023-04-25 发布日期:2023-05-19
  • 通讯作者: 吴鸣,E-mail: ahslyywm@163.com
  • 作者简介:赵婧(1990-),女,汉族,安徽蒙城县人,硕士,治疗师,主要研究方向:肌肉骨骼康复、作业治疗。
  • 基金资助:
    1.安徽省临床重点专科(ZD125_013);2.安徽省公益性研究计划项目(1704f0804005)

Effect of perioperative occupational therapy on patients after total knee arthroplasty

ZHAO Jing, WU Ming(), NI Chaomin, ZHANG Yang, CUI Juncai   

  1. Department of Rehabilitation, the First Affiliated Hospital of USTC, Anhui Provincial Hospital, Hefei, Anhui 230001, China
  • Received:2022-10-08 Revised:2023-02-01 Published:2023-04-25 Online:2023-05-19
  • Contact: WU Ming, E-mail: ahslyywm@163.com
  • Supported by:
    Anhui Provincial Clinical Key Specialty(ZD125_013);Anhui Provincial Public Welfare Research Program Project(1704f0804005)

摘要:

目的 观察作业治疗在全膝关节置换术围手术期介入的早中期临床效果。
方法 2018年7月至8月,中国科学技术大学附属第一医院行初次全膝关节置换术患者100例,根据治疗方案分为对照组(n = 50)和观察组(n = 50)。两组均接受常规术前康复教育、手术治疗及术后物理治疗,观察组额外进行围手术期作业治疗。分别在术前,术后1 d、2 d、3 d,出院当天,术后1个月、3个月和6个月采用改良Barthel指数(MBI)和工具性日常生活活动量表(IADL)进行评定。
结果 术后1 d、2 d、1个月、3个月、6个月,观察组MBI评分均高于对照组(t > 2.113, P < 0.05)。术后1个月和3个月,观察组IADL评分显著高于对照组(t > 5.125, P < 0.001)。观察组术后住院天数显著少于对照组(t = -5.356, P < 0.001),治疗费用低于对照组(t = -2.455, P < 0.05)。
结论 作业治疗能有效改善全膝关节置换术患者早中期日常生活活动能力,早日回归正常生活。

关键词: 全膝关节置换术, 作业治疗, 日常生活活动能力

Abstract:

Objective To observe the early and mid-term clinical effect of occupational therapy on patients after total knee arthroplasty (TKA) during perioperative period.
Methods From July to August, 2018, 100 patients who underwent the first TKA in the First Affiliated Hospital of USTC were divided into control group (n = 50) and observation group (n = 50) according to the treatment plan. Both groups received routine preoperative rehabilitation education, surgical treatment and postoperative physical therapy, in addition, the observation group received perioperative occupational therapy. They were assessed with modified Barthel Index (MBI) and Instrumental Activities of Daily Living (IADL) before operation; one, two and three days after operation; on the day of discharge; one month, three months and six months after operation.
Results One day, two days, one month, three months and six months after operation, the scores of MBI were higher in the observation group than in the control group (t > 2.113, P < 0.05). One month, three months after operation, the scores of IADL were significantly higher in the observation group than in the control group (t > 5.125, P < 0.001). The postoperative hospitalization time was significantly shorter (t = -5.356, P < 0.001), and the total treatment cost was lower (t = -2.455, P < 0.05) in the observation group than in the control group.
Conclusion Occupational therapy could effectively improve the early and mid-term activities of daily living of TKA patients and help them return to normal life earlier.

Key words: total knee arthroplasty, occupational therapy, activity of daily living

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