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髋关节置换术后康复教育干预对改善功能能力的影响:一项范围综述

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review.

作者信息

Nicolau Célia, Mendes Liliana, Ciríaco Mário, Ferreira Bruno, Baixinho Cristina Lavareda, Fonseca César, Ferreira Rogério, Sousa Luís

机构信息

Alentejo Coastal Hospital (HLA), Alentejo Coastal Local Health Unit (ULSLA), 7540-230 Santiago do Cacém, Portugal.

Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal.

出版信息

J Pers Med. 2022 Apr 19;12(5):656. doi: 10.3390/jpm12050656.

Abstract

(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person's functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

摘要

(1) 背景:与衰老相关的髋关节骨关节炎患病率是髋关节置换术增加的主要原因之一。在髋关节置换术的术前和术后阶段进行教育干预可以改善功能,从而提高生活质量。因此,我们打算梳理出能够改善接受髋关节置换术患者康复过程中功能能力的教育干预措施。(2) 方法:范围综述。检索了以下数据库:护理学与健康全数据库、医学全数据库、护理及相关健康综合数据库、Cochrane方法学注册库、图书馆与信息科学技术文摘数据库、拉丁美洲医学数据库以及谷歌学术。我们纳入了评估教育康复干预措施实施情况的研究,这些干预措施能够增强接受髋关节置换术患者的能力并对其进行教学。(3) 结果:分析了13项符合纳入标准并能回答研究问题的研究。围手术期教育促进了康复锻炼的训练,改善了住院体验,增加了对康复过程的参与度,实现了早期活动,并提高了功能潜力,从而使患者能够更快地重新融入社会。(4) 结论:早期活动在患者的功能恢复以及预防血栓栓塞并发症方面起着非常重要的作用。运动对身体功能有益,即可以增强力量、改善平衡、促进功能活动并预防并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b8f/9147380/e3729c52b7fc/jpm-12-00656-g001.jpg

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