Tong Di, Zhang Jing, Liang Xin-Ying
Department of Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China.
World J Clin Cases. 2024 Sep 6;12(25):5720-5728. doi: 10.12998/wjcc.v12.i25.5720.
Patients with knee arthroplasty often have problems such as slow recovery of knee function, which may cause negative emotions and affect their postoperative rehabilitation. The application of sensory and motor training in the Acknowledge, Introduce, Duration, Evaluation, Thank You (AIDET) communication mode in patients after knee arthroplasty can provide reference for the selection of postoperative rehabilitation training measures.
To explore the sensory and motor training effects in AIDET communication mode on knee function recovery and resilience of patients after knee arthroplasty.
One hundred patients who underwent knee arthroplasty at our hospital between January 2022 and January 2024 were randomly divided into two groups. The control group ( = 50) received routine rehabilitation training. In the observation group ( = 50), the AIDET communication mode was used to perform sensory and motor training, in addition to routine rehabilitation training. The rehabilitation training was administered for 8 weeks. After surgery, knee function, balance ability, walking ability, proprioception, and resilience were compared between the two groups.
The New York Hospital for Special Surgery knee scores of the observation group at the time of discharge and 8 weeks after intervention were (65.23 ± 6.84, 84.53 ± 5.27), which was higher than those of the control group (61.03 ± 7.15, 74.92 ± 6.52) ( < 0.05). The balance ability of the observation group at the time of discharge and 8 weeks after the intervention was higher than that of the control group, the time of time up to go test was shorter than that of the control group, and proprioceptive function was higher than that of the control group ( < 0.05). The resilience level in the observation group after the intervention was higher than that in the control group ( < 0.05).
Sensory and motor training in AIDET communication mode promotes knee function recovery of patients after knee arthroplasty, improves their limb walking ability and balance function, and increases their resilience level.
膝关节置换术后患者常存在膝关节功能恢复缓慢等问题，这可能引发负面情绪并影响其术后康复。在膝关节置换术后患者中应用感知与运动训练于知晓、介绍、时长、评估、感谢（AIDET）沟通模式，可为术后康复训练措施的选择提供参考。
探讨AIDET沟通模式下的感知与运动训练对膝关节置换术后患者膝关节功能恢复及心理弹性的影响。
选取2022年1月至2024年1月在我院行膝关节置换术的100例患者，随机分为两组。对照组（n = 50）接受常规康复训练。观察组（n = 50）在常规康复训练基础上，采用AIDET沟通模式进行感知与运动训练。康复训练为期8周。术后比较两组患者的膝关节功能、平衡能力、行走能力、本体感觉及心理弹性。
观察组出院时及干预8周后的纽约特种外科医院膝关节评分分别为（65.23±6.84，84.53±5.27），高于对照组（61.03±7.15，74.92±6.52）（P<0.05）。观察组出院时及干预8周后的平衡能力高于对照组，计时起立行走测试时间短于对照组，本体感觉功能高于对照组（P<0.05）。干预后观察组的心理弹性水平高于对照组（P<0.05）。
AIDET沟通模式下的感知与运动训练可促进膝关节置换术后患者膝关节功能恢复，提高其肢体行走能力及平衡功能，并提升其心理弹性水平。
