Orem自理模式配合早期康复训练在膝关节交叉韧带损伤患者干预中的应用

Application of Orem Self-Care Mode Combined with Early Rehabilitation Training in Patients with Cruciate Ligament Injuries of Knee Joint

摘要: 目的：探讨奥瑞姆(Orem)自理模式配合早期康复训练在膝关节交叉韧带损伤患者干预中的应用价值。方法：将2015年5月~2017年8月医院收治的82例接受关节镜下膝关节交叉韧带重建的膝关节交叉韧带损伤患者随机分为对照组与观察组每组41例，对照组采用常规早期康复训练干预，观察组加用Orem自理模式干预，比较两组干预前后美国特种外科医院膝关节评分(HSS)、Lysholm膝关节功能评分(LKSS)的变化，采用一般自我效能感量表(GSES)、Barthel指数表(BI)评定患者自我效能及日常生活能力的改善，统计两组术后并发症发生率。结果：干预前，两组HSS表、LKSS表、GSES表、BI指数表评分比较差异无统计学意义(P > 0.05)，干预6个月，两组HSS表、LKSS表、GSES表、BI指数表评分均上升(P < 0.05)，观察组上升幅度高于对照组，比较差异有统计学意义(P < 0.05)；观察组并发症发生率略低于对照组，但比较差异无统计学意义(P > 0.05)。结论：Orem自理模式配合早期康复训练可提高膝关节交叉韧带损伤患者自我效能，改善患者膝关节功能及日常生活能力。

Abstract: Objective: To explore the application value of Orem self-care mode combined with early rehabilita-tion training in patients with cruciate ligament injuries of knee joint. Methods: Eighty-two patients with cruciate ligament injuries of knee joint who underwent arthroscopic knee cruciate ligament reconstruction in the hospital from May 2015 to August 2017 were randomly divided into control group and observation group, 41 cases in each group. Both groups were given routine early rehabil-itation training intervention, and the observation group was additionally given Orem self-care mode intervention. Changes in hospital special surgery (HSS) knee score and Lysholm knee score (LKSS) before and after the intervention were compared between the two groups. The improvement of self-efficacy and activities of daily living was evaluated with the general self-efficacy scale (GSES) and Barthel Index (BI). The incidence rates of postoperative complications in both groups were statistically analyzed. Results: There was no significant difference in the score of HSS, LKSS, GSES or BI between the two groups before intervention (P > 0.05). The above scores were increased after 6 months of intervention (P < 0.05), and the increase in the observation group was greater than that in the control group (P < 0.05). The incidence of complications in the observation group was slightly lower than that in the control group (P > 0.05). Conclusion: Orem self-care mode combined with early rehabilitation training can improve the self-efficacy of patients with cruciate ligament injuries of knee joint, and improve their knee function and activities of daily living.