摘要
目的探究动力型支具训练配合心理干预对手屈肌腱断裂术后患者负面情绪、手握力及捏力的影响.方法选择2021年6月—2023年4月于聊城市中医医院行手屈肌腱断裂修复术的100例患者为研究对象,按随机数字表法将其分为对照组与观察组,各50例.对照组采用常规训练,于此基础上,观察组采用动力型支具训练配合心理干预,两组均干预6个月.比较两组的负面情绪、手握力、捏力、不良事件.结果干预前,两组负面情绪、手握力和捏力对比,组间差异无统计学意义(P>0.05);干预后,观察组抑郁自评量表、焦虑自评量表评分均低于对照组,手指侧捏力、三点捏力、握力均高于对照组,组间差异有统计学意义(P<0.05).观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05).结论动力型支具训练配合心理干预能够减轻手屈肌腱断裂术后患者的负面情绪,提高手握力和捏力,减少不良事件的发生.
Objective To explore the effect of dynamic brace training combined with psychological intervention on negative emotions,grip strength and pinch strength of postoperative patients with flexor tendon rupture of the hand.Methods From June 2021 to April 2023,100 patients who underwent repair of hand flexor tendon rupture in Liaocheng Hospital of Traditional Chinese Medicine were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 50 cases in each group.The control group received routine training,and the observation group received dynamic brace training combined with psychological intervention on the basis of routine training.The intervention lasted for 6 months each group.Negative emotions,grip strength,pinch strength,and adverse events were compared between the two groups.Results Before the intervention,there was no significant difference in negative emotion,grip strength and pinch strength between the two groups(P>0.05).After intervention,the scores of Self-rating Depression Scale and Self-rating Anxiety Scale of the observation group were lower than those of the control group,and the finger lateral pinch force,three-point pinch force and grip strength of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dynamic brace training combined with psychological intervention can reduce the negative emotions of postoperative patients with flexor tendon rupture of hand,improve hand grip strength and pinch strength,and reduce the occurrence of adverse events.
作者
张靖
ZHANG Jing(Department of Hand and Foot Surgery,Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng Shandong,252000,China)
出处
《反射疗法与康复医学》
2024年第3期191-194,共4页
Reflexology And Rehabilitation Medicine
关键词
手屈肌腱断裂
动力型支具训练
心理干预
负面情绪
手握力和捏力
不良事件
Flexor tendon rupture of hand
Dynamic brace training
Psychological intervention
Negative emotions
Grip strength and pinch strength
Adverse events
作者简介
张靖(1987-),女,山东聊城人,本科,主管护师,研究方向:手足外科护理。
