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胫骨高位截骨术后职业治疗实践对患者预后的影响:日本的一项非随机研究

Effects of Occupational Therapy Practice on Patient Outcomes after High Tibial Osteotomy: A Non-randomized Study in Japan.

作者信息

Hiraga Yuki, Hara Ryusei, Hirakawa Yoshiyuki, Hisano Shinya, Kitajima Eiji, Hida Katsuko

机构信息

Department of Occupational Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan.

Department of Health Sciences, International University of Health and Welfare Graduate School, Fukuoka, Japan.

出版信息

Occup Ther Health Care. 2025 Jan;39(1):41-56. doi: 10.1080/07380577.2023.2180819. Epub 2023 Feb 23.

Abstract

We examined the effectiveness of occupational therapy intervention combined with standard rehabilitation in patients undergoing high tibial osteotomy (HTO). Overall, 115 patients with HTO for knee osteoarthritis were examined. An intervention group ( = 50), who received occupational therapy and standard rehabilitation, was compared to a control group ( = 65), who underwent standard rehabilitation only ( = 65). Compared with the control group, the intervention group had significantly lower Hospital Anxiety and Depression Scale depression and anxiety scores (both  < 0.05), with between-group differences showing large- and medium-effect sizes, respectively ( = 1.06 and 0.61). Results suggest occupational therapy with rehabilitation during hospitalization improves depression and anxiety rates in patients post-HTO.

摘要

我们研究了职业治疗干预联合标准康复治疗对接受高位胫骨截骨术(HTO)患者的有效性。总体而言,对115例因膝关节骨关节炎接受HTO手术的患者进行了检查。将接受职业治疗和标准康复治疗的干预组(n = 50)与仅接受标准康复治疗的对照组(n = 65)进行比较。与对照组相比,干预组的医院焦虑抑郁量表抑郁和焦虑评分显著更低(均P < 0.05),组间差异分别显示为大效应量和中等效应量(Cohen's d = 1.06和0.61)。结果表明,住院期间进行职业治疗与康复可提高HTO术后患者的抑郁和焦虑缓解率。

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