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热疗与家庭锻炼计划对膝骨关节炎患者疼痛和功能水平的影响:一项随机对照试验

Application of heat and a home exercise program for pain and function levels in patients with knee osteoarthritis: A randomized controlled trial.

作者信息

Karadağ Songül, Taşci Sultan, Doğan Nurhan, Demir Hüseyin, Kiliç Züleyha

机构信息

Department of Internal Diseases Nursing, Çukurova University, Faculty of Health Sciences, Adana, Turkey.

Department of Internal Diseases Nursing, Erciyes University, Faculty of Health Sciences, Kayseri, Turkey.

出版信息

Int J Nurs Pract. 2019 Oct;25(5):e12772. doi: 10.1111/ijn.12772. Epub 2019 Aug 22.

Abstract

AIM

This study aimed to determine the effect of application of superficial local heat and a home exercise program on pain and function levels to patients with bilateral knee osteoarthritis.

METHODS

This study was conducted in Turkey between January 2014 and February 2015. The sample group of the study consisted of 62 patients with osteoarthritis; 15 assigned to heat application, 15 to exercise, 15 to exercise after heat application, and 17 for the control group. While the patients in the control group received routine treatment only, the patients in the intervention group were treated with heat application, exercise, or exercise after heat application, suggested for 5 days a week for 4 weeks in addition to routine treatment.

RESULTS

In this study, all of the intervention groups had decreases in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index pain, stiffness, and function scores when compared with the control group. It was found that this decrease in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index scores was mostly in the exercise group, but this condition was not statistically significant.

CONCLUSIONS

As a result, it is recommended that nurses train patients with osteoarthritis on heat application and home exercises and encourage them to apply these practices.

摘要

目的

本研究旨在确定浅表局部热疗和家庭锻炼计划对双侧膝关节骨关节炎患者疼痛和功能水平的影响。

方法

本研究于2014年1月至2015年2月在土耳其进行。研究样本组由62例骨关节炎患者组成;15例分配至热疗组,15例分配至锻炼组,15例分配至热疗后锻炼组,17例为对照组。对照组患者仅接受常规治疗,干预组患者除常规治疗外,还接受热疗、锻炼或热疗后锻炼,建议每周进行5天,共4周。

结果

在本研究中,与对照组相比,所有干预组的视觉模拟评分疼痛以及西安大略和麦克马斯特大学骨关节炎指数的疼痛、僵硬和功能评分均有所下降。发现视觉模拟评分疼痛以及西安大略和麦克马斯特大学骨关节炎指数评分的下降主要出现在锻炼组,但这种情况无统计学意义。

结论

因此,建议护士对骨关节炎患者进行热疗和家庭锻炼方面的培训,并鼓励他们应用这些方法。

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