Title : Application Research of Peer Mutual Management Model in Fast Rehabilitation After Gluteal Muscle Contracture
Objective: This was a randomized controlled trial to investigate the effect of a peer mutual management model on fast rehabilitation exercise in patients with gluteal muscle contracture after surgery.
Design: Single centre, parallel randomized controlled, close label, observer blinded clinical trial. Participants were consecutively enrolled and followed up for 3 days.
Setting: This study was performed in sports medicine and rehabilitation centre in a comprehensive hospital. There are over 200 gluteal muscle contracture related procedures performed annually. Gluteal muscle contracture data was collected in hospital by an independent assessor.
Participants: All participants were inpatients and receive gluteal muscle contracture surgeries. All participants were met our criteria and signed consents. 48 patients were included in the experimental group and 48 patients were included in the control group.
Intervention: The control group received routine postoperative fast track exercise, which mainly included basic training, health education and risk prevention and control. The observation group was given peer mutual management on the basis of the control group. Three hospitalized patients with gluteal muscle contracture were selected as the core members of the peer mutual group. The activities of the peer mutual group included 9 themes, each activity revolved around 3 themes, and 9 themes were recycled every 3 days.
Main Outcome Measures: The gluteal muscle function, hip swelling degree, pain degree, exercise compliance and psychosocial adaptability of the two groups were evaluated.
Results: At 2 and 3 days after surgery, the gluteal muscle function scores of the two groups were higher than those before operation and at 1 day after surgery, and the gluteal muscle function score of the experimental group was higher than that of the control group, the difference between the two groups was statistically significant (P < 0.05). The degree of hip swelling in the experimental group was significantly lighter than that in the control group, and the difference was statistically significant (P < 0.05). At 2 and 3 days after surgery, the pain visual analogue scale scores of the two groups were lower than those at 1 day after surgery, and the pain visual analogue scale scores of the experimental group were lower than those of the control group, and the differences were statistically significant (P < 0.05). After the intervention, the posttraumatic growth inventory scores of the experimental group were significantly higher than those of the control group, and the difference between the groups was statistically significant (P < 0.05).
Conclusion: The peer mutual management model can improve the exercise compliance of patients with gluteal muscle contracture after surgery, reduce the degree of pain, relieve hip swelling, and has an ideal rehabilitation effect, which is worthy of clinical application.