Effects Of Home Rehabilitation Training Program For Patients After Total Knee Arthroplasty

Objective:To explore the effect of home rehabilitation training programs on the intervention effect of patients undergoing total knee arthroplasty,with a view to improving postoperative physical function status,improving rehabilitation self-efficacy and quality of life,and forming a set of operable home rehabilitation training programs.Provide a basis for clinical home rehabilitation researchMethods:This study is a randomized controlled trial.A convenient sampling plan was used to select patients who were to undergo total knee arthroplasty from December 2018 to October 2019 in the Orthopedics Department of the General Hospital of Eastern Theater Command.90 patients who met the criteria were randomized.They were divided into intervention group and control group,with 45 cases in each group.This study used literature review,survey interviews,and pre-experiments to sort out relevant data and exercise content.Based on evidence-based basis,a home rehabilitation training program for patients after total knee arthroplasty was developed,and then intervention was performed in the two groups,of which the control group received routine Rehabilitation guidance.The intervention group increased home rehabilitation training at 2 weeks after operation and continued intervention for 10 weeks.Follow-up was per-formed for 6 months by WeChat,and the Osteoarthritis index(Contains three dimensions of pain,stiffness,and physical function),rehabilitation self-efficacy and quality of life scores were measured before surgery,1 month,3 months and 6 months after surgery respectively.The patients were counted for the first time independent walking time,incidence of adverse events,satisfaction,and completion of the intervention group program at 6 months after surgery.Results:Ninety patients were included in this study,5 patients were lost,and 85 patients were finally included,including 43 patients in the intervention group and 42 patients in the control group.The results showed that there was no significant difference in general information and disease-related indicators between the two groups of patients(P>0.05),and they were comparable.There was no statistical comparison between the osteoarthritis index score,rehabilitation self-efficacy score,and quality of life score between the two groups before surgery.(P>0.05);Comparison of the total scores of osteoarthritis index,pain dimension score,physical function dimension score,rehabilitation self-efficacy score and total quality of life scores between the two groups at 1 month,3 months and 6 months after surgery.The difference was statistically significant(P<0.05);the comparison of the osteoarthritis index(stiffness dimension score)between the two groups at 1 month,3 months,and 6 months after operation was not statistically significant(P>0.05)..Second,the comparison of the first independent walking time and satisfaction between the two groups of patients was statistically significant(P<0.05),and the incidence of adverse events was not statistically significant(P>0.05).80%of the patients in the intervention group had a home rehabilitation program Completion is over 80%.Conclusion:Home rehabilitation training programs can reduce postoperative pain,improve physical function,and accelerate postoperative recovery in patients undergoing total knee arthroplasty.In addition,they can significantly improve patients' self-efficacy,quality of life,and patient satisfaction.The role ofj oint stiffness needs to be further explored by expanding the sample size.