探究阶梯性康复训练对关节置换术患者关节功能恢复的影响

Objective To explore the effects of the graded rehabilitation training based on the health action process approach(HaPa) theory on the recovery of hip joint function and self-efficacy in patients undergoing total hip arthroplasty. Methods A total of 160 patients who underwent total hip replacement surgery in the Orthopedics Department of the First People's Hospital of Lin'an District, Hangzhou City from July 2023 to April 2025 were selected as the research subjects. They were randomly divided into the control group and the experimental group, with 80 cases in each group. The control group received conventional rehabilitation training, while the experimental group underwent graded rehabilitation training based on the HaPa theory. The hip joint function, self-efficacy, fear of movement, rehabilitation compliance and quality of life of the two groups of patients were compared. Results The hip joint function score of the experimental group was higher than that of the control group(P<0.05). The self-efficacy score of the experimental group was higher than that of the control group(P<0.05). The fear of movement score of the experimental group was lower than that of the control group(P<0.05). The rehabilitation compliance of the experimental group was higher than that of the control group(P<0.05). The quality of life score of the experimental group was higher than that of the control group(P<0.05). Conclusion The graded rehabilitation training based on the HaPa theory can effectively promote the recovery of hip joint function in patients undergoing total hip arthroplasty, improve self-efficacy and rehabilitation compliance, reduce fear of movement, and improve quality of life.