首页|期刊导航|中外医学研究|髋关节置换术后病人康复锻炼依从性影响因素的范围综述

髋关节置换术后病人康复锻炼依从性影响因素的范围综述OA

A Comprehensive Review of Factors Affecting Rehabilitation Exercise Compliance in Patients after Hip Replacement Surgery

中文摘要英文摘要

目的:对髋关节置换术(HA)后病人康复锻炼依从性的影响因素进行范围综述,为临床制定有效的护理措施提供参考依据.方法:计算机检索 PubMed、Web of Science、EMbase、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,收集建库至 2026 年 1 月关于髋关节置换术后患者康复锻炼依从性影响因素的中英文文献,依据 PRISMA-ScR 指南进行文献筛选、资料提取与整合分析,采用主题归纳法对影响因素进行分类梳理.结果:共纳入符合标准的文献 25 篇,其中中文文献 18 篇、英文文献 7 篇.提炼出髋关节置换术后患者康复锻炼依从性的四大类影响因素:患者个体层面、社会心理层面、病理层面及医疗环境层面.结论:HA 后患者康复锻炼依从性受多维度因素交互影响,现有研究仍处于单因素分析为主的阶段,缺乏多因素交互作用的机制研究与本土化干预模型的构建.未来应聚焦老年、合并基础疾病等特殊人群,开展多中心、大样本的纵向研究,为临床康复护理实践提供更具针对性的干预措施.

Objective:To provide a comprehensive review of the influencing factors of rehabilitation exercise compliance in patients after hip replacement surgery(HA),and to provide reference for the development of effective nursing measures in clinical practice.Method:Computer searches were conducted on PubMed,Web of Science,EMbase,the Cochrane Library,CNKI,Wanfang Database,VIP Database,and China Biomedical Literature Database to collect Chinese and English literature on the factors affecting rehabilitation exercise compliance in patients after hip replacement surgery from the establishment of the database until January 2026.Literature screening,data extraction,and integration analysis were conducted according to the PRISMA-ScR guidelines,and the influencing factors were classified and sorted using thematic induction.Result:A total of 25 articles that met the criteria were included,including 18 Chinese articles and 7 English articles.Extract four major influencing factors of rehabilitation exercise compliance in patients after hip replacement surgery:individual level,social and psychological level,pathological level,and medical environment level.Conclusion:The rehabilitation exercise compliance of patients after HA is influenced by multidimensional factors,and existing research is still mainly focused on univariate analysis,lacking mechanism research on the interaction of multiple factors and the construction of localized intervention models.In the future,special populations such as the elderly and those with underlying diseases should be focused on,and multi center,large sample longitudinal studies should be conducted to provide more targeted intervention measures for clinical rehabilitation nursing practice.

李美佼;童路莲;江珉

昆明医科大学护理学院 云南 昆明 650050||中国人民解放军联勤保障部队第九二〇医院昆明医科大学护理学院 云南 昆明 650050||中国人民解放军联勤保障部队第九二〇医院中国人民解放军联勤保障部队第九二〇医院

髋关节置换术康复锻炼依从性影响因素范围综述循证护理

Hip replacement surgeryRehabilitation exerciseComplianceInfluencing factorsScope overviewEvidence based nursing

《中外医学研究》 2026 (21)

29-34,6

10.14033/j.cnki.cfmr.2026.21.005

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