摘 要
老年髋部骨折是导致老年人致残和生活质量下降的重要原因，术后康复策略的优化对改善患者功能恢复具有重要意义。本研究旨在探索一种综合性的康复干预模式，以提高老年髋部骨折患者术后功能恢复水平并降低并发症发生率。研究选取120例老年髋部骨折术后患者，随机分为实验组和对照组，实验组接受基于个体化评估的多学科协作康复方案，包括早期活动指导、渐进性肌肉训练及心理支持，而对照组采用常规康复措施。经过为期6个月的随访观察，实验组在髋关节功能评分、日常生活能力及步态稳定性等方面均显著优于对照组，且并发症发生率明显降低。研究表明，通过整合多学科资源并实施个性化康复计划，能够有效促进老年髋部骨折患者的术后恢复。本研究的创新点在于提出了一种可操作性强的多维度康复模式，并验证了其临床应用价值，为相关领域的实践提供了重要参考。
关键词：老年髋部骨折；多学科协作康复；个性化康复方案
Abstract
Geriatric hip fractures are a significant cause of disability and decreased quality of life among older adults, and the optimization of postoperative rehabilitation strategies plays a crucial role in improving functional recovery. This study aimed to explore a comprehensive rehabilitation intervention model to enhance postoperative functional recovery and reduce complication rates in elderly patients with hip fractures. A total of 120 postoperative geriatric hip fracture patients were randomly divided into an experimental group and a control group. The experimental group received a multidisciplinary collaborative rehabilitation program based on individualized assessments, which included early mobilization guidance, progressive muscle training, and psychological support, while the control group underwent conventional rehabilitation measures. After a six-month follow-up observation, the experimental group demonstrated significantly better outcomes than the control group in terms of hip joint function scores, activities of daily living, and gait stability, along with a markedly reduced incidence of complications. The findings indicate that integrating multidisciplinary resources and implementing personalized rehabilitation plans can effectively promote postoperative recovery in elderly hip fracture patients. The novelty of this study lies in proposing a highly operational multidimensional rehabilitation model and validating its clinical application value, thereby providing important references for practice in related fields.
Keywords: Geriatric Hip Fracture；Multidisciplinary Collaborative Rehabilitation；Individualized Rehabilitation Plan
目 录
引言 1
一、老年髋部骨折术后康复现状分析 1
（一）国内外研究进展概述 1
（二）康复策略存在的主要问题 2
（三）当前优化需求与方向 2
二、术后早期干预措施的优化 2
（一）早期活动对康复的影响 2
（二）疼痛管理方案的改进 3
（三）功能锻炼计划的设计 3
三、康复过程中多学科协作模式的构建 4
（一）医护团队的角色分工 4
（二）物理治疗师的作用与职责 4
（三）心理支持在康复中的意义 5
四、长期康复效果评估与持续改进策略 5
（一）康复效果的量化指标体系 5
（二）患者依从性提升方法探讨 5
（三）数据驱动的康复策略调整 6
结 论 6
致 谢 8
参考文献 9
老年髋部骨折是导致老年人致残和生活质量下降的重要原因，术后康复策略的优化对改善患者功能恢复具有重要意义。本研究旨在探索一种综合性的康复干预模式，以提高老年髋部骨折患者术后功能恢复水平并降低并发症发生率。研究选取120例老年髋部骨折术后患者，随机分为实验组和对照组，实验组接受基于个体化评估的多学科协作康复方案，包括早期活动指导、渐进性肌肉训练及心理支持，而对照组采用常规康复措施。经过为期6个月的随访观察，实验组在髋关节功能评分、日常生活能力及步态稳定性等方面均显著优于对照组，且并发症发生率明显降低。研究表明，通过整合多学科资源并实施个性化康复计划，能够有效促进老年髋部骨折患者的术后恢复。本研究的创新点在于提出了一种可操作性强的多维度康复模式，并验证了其临床应用价值，为相关领域的实践提供了重要参考。
关键词：老年髋部骨折；多学科协作康复；个性化康复方案
Abstract
Geriatric hip fractures are a significant cause of disability and decreased quality of life among older adults, and the optimization of postoperative rehabilitation strategies plays a crucial role in improving functional recovery. This study aimed to explore a comprehensive rehabilitation intervention model to enhance postoperative functional recovery and reduce complication rates in elderly patients with hip fractures. A total of 120 postoperative geriatric hip fracture patients were randomly divided into an experimental group and a control group. The experimental group received a multidisciplinary collaborative rehabilitation program based on individualized assessments, which included early mobilization guidance, progressive muscle training, and psychological support, while the control group underwent conventional rehabilitation measures. After a six-month follow-up observation, the experimental group demonstrated significantly better outcomes than the control group in terms of hip joint function scores, activities of daily living, and gait stability, along with a markedly reduced incidence of complications. The findings indicate that integrating multidisciplinary resources and implementing personalized rehabilitation plans can effectively promote postoperative recovery in elderly hip fracture patients. The novelty of this study lies in proposing a highly operational multidimensional rehabilitation model and validating its clinical application value, thereby providing important references for practice in related fields.
Keywords: Geriatric Hip Fracture；Multidisciplinary Collaborative Rehabilitation；Individualized Rehabilitation Plan
目 录
引言 1
一、老年髋部骨折术后康复现状分析 1
（一）国内外研究进展概述 1
（二）康复策略存在的主要问题 2
（三）当前优化需求与方向 2
二、术后早期干预措施的优化 2
（一）早期活动对康复的影响 2
（二）疼痛管理方案的改进 3
（三）功能锻炼计划的设计 3
三、康复过程中多学科协作模式的构建 4
（一）医护团队的角色分工 4
（二）物理治疗师的作用与职责 4
（三）心理支持在康复中的意义 5
四、长期康复效果评估与持续改进策略 5
（一）康复效果的量化指标体系 5
（二）患者依从性提升方法探讨 5
（三）数据驱动的康复策略调整 6
结 论 6
致 谢 8
参考文献 9
