赋能健康教育在骨科护理管理中的应用效果  

The application effect of empowerment health education in orthopaedic nursing management

作　　者：陈雪[1] 秦彦国 李俊峰[1] 马莉[1] 李金秋[1] 钟莉莉[1] CHEN Xue;QIN Yanguo;LI Junfeng;MA Li;LI Jinqiu;ZHONG Lili(Department of Orthopaedic, the Second Hospital of Jilin University, Jilin Province, Changchun 130041, China)

机构地区：[1]吉林大学第二医院骨科,吉林长春130041

出　　处：《中国医药导报》2018年第7期162-165,共4页China Medical Herald

基　　金：吉林省科技发展计划项目(20160307023GX)

摘　　要：目的探讨赋能健康教育在骨科护理管理中的应用效果。方法选择2015年1月~2016年5月在吉林大学第二医院收治的髋骨骨折患者98例,采用随机数字表发将其分为实验组和对照组,每组各49例。实验组给予赋能健康教育,对照组给予常规健康教育。采用Barthel指数量表和一般自我效能感量表(GSES)对术前及术后3周两组患者的日常生活活动能力和一般自我效能进行评估,比较两组患者住院期间的并发症发生情况。结果术前两组Barthel指数和GSES评分比较,差异均无统计学意义(P>0.05)。术后3周,两组Barthel指数、GSES评分均高于术前,且实验组均明显高于对照组,差异均有统计学意义(P<0.05)。实验组总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论赋能健康教育能提高髋骨骨折患者一般自我效能与日常生活活动能力,降低患者的并发症发生率,有利于促进患者对疾病的自我管理。Objective To explore the application effect of empowerment health education in orthopaedic nursing man- agement. Methods From January 2015 to May 2016, 98 patients with hip fractures in the Second Hospital of Jilin Uni- versity were selected and divided into the experimental group and the control group by random number table, with 49 cases in each group. The control group was given routine nursing health education and the experimental group was given empowerment health education. The Barthel index scale and the general self-efficacy scale （GSES） were applied to e- valuate the activities of daily living and the general self-efficacy before operation and 3 weeks after operation. The complications were compared between the two groups during hospitalization. Results Before operation, there were no statistically significant differences in the scores of Barthel index and the GSES between the two groups （P 〉 0.05）. After operation of 3 weeks, the scores above were all higher than those of before operation, those in the experimental group were significantly higher than those of control group, with statistically significant differences （P 〈 0.05）. The incidence of complications in the experimental group was lower than that of control group, with statistically significant difference （P 〈 0.05）. Conclusion Empowerment health education can improve the general self-efficacy and daily living activity of patients with hip fracture, reduce the incidence of complications, which is conducive to promote the patient＇s self- management of the disease.

关 键 词：骨折 赋能 护理 健康教育 

分 类 号：R473.6[医药卫生—护理学]