基于健康信念模式的早期功能锻炼应用于中老年膝关节置换术后患者的效果

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Effect of Early Functional Exercise Based on Health BeliefModel onMiddle-agedand Elderly Patientsafter Knee Replacement/DENG Siyu， ZHANG Qin，WANG Yiqin.//Medical Innovationof China， 2025，22（18）：084-088

[Abstract]Objective：To explore the efects of early functional exercise based on the health belief model on knee joint function，complications andqualityof lifeinmiddle-agedand elderly patientsafter kneereplacement. Method：A total of 136 middle-aged and elderly patients who needed knee replacement and visited Mianyang Central Hospital from February 2O22 to January 2O24 were divided into the control group （ n =68）and the belief group （ n =68） according to the random number table method.Thecontrol group adopted conventional functional exercise， and the belief groupadopted early functional exercise based onthe health belief model.The knee joint function， incidence of complicationsand qualityof lifeof the two groups were compared.Result： After the intervention，the ken society score （KSS）of the belief group were higher than those of thecontrol group，and range of motion （ROM） was larger than that of the control group， the differences were statistically significant （ P <0.05）. The incidence of complications inthe belief group was lower than thatin thecontrol group，thediffrence was statisticallysignificant （ P <0.05）.The scores of the World Health Organization qualityoflife-10o（WHO-QOL-1O0）inthe belief group after 1monthand3monthsof intervention were higher than thoseinthecontrol group，thediferences were statistically significant （ P <0.05）.Conclusion：Early functional exercise based on the health belief model can improve the knee joint functionof middle-aged and elderly patients after knee replacement，reduce theoccurrenceofcomplications， and improve the quality of life.

[Key Words]Knee replacementEarly functional exerciseHealth belief modelKnee joint function

First-author'saddress：DepartmentofOrthopedic，Mianyang Central Hospital，School ofMedicine， University of Electronic Science and Technology of China，Mianyang 621ooo， China doi：10.3969/j.issn.1674-4985.2025.18.020

中老年人群因骨质疏松、关节退行性改变等因素，导致膝关节疾病发生率逐年上升，尤其是退行性膝关节炎等，严重影响患者生活质量[。（剩余5897字）