基于“信息-动机-行为”理论的老年骨折康复软件的设计  

The design of elderly fracture rehabilitation software based on ＂Information-Motivation-Behavioral Skills Model＂

作　　者：吴琼[1] 江智霞[1] 赖榕霏 苏涛 代永娅 黄迪 张晶晶[3] 宋凌霞[2] Wu Qiong;Jiang Zhixia;Lai Rongfei;Su Tao;Dai Yongya;Huang Di;Zhang Jingfing;Lingxia Song(Nursing Department, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China)

机构地区：[1]遵义医学院附属医院护理部,563003 [2]遵义医学院附属医院骨科,563003 [3]遵义医学院护理学院

出　　处：《中国实用护理杂志》2018年第24期1855-1860,共6页Chinese Journal of Practical Nursing

基　　金：贵州省省级重点学科护理学（黔学位合字ZDXK[2016]10号）;遵义市红花岗区科学技术项目（遵红科合社字（2016）08号）

摘　　要：目的以信息-动机-行为技巧模型（IMB模型）为理论基础设计康复应用软件，满足老年骨折患者康复需要，提高院外康复延续性及老年骨折患者康复依从性，改善康复结局。方法以“信息-动机-行为”理论为指导，以人机交互统一性为设计理念，回顾老年骨折患者康复训练的现状及康复需求，完成老年骨折康复软件的设计并应用于我院骨科30例骨折患者康复训练测试（试验组），随机选取30例同期患者作为对照组进行对比。所有患者在术前、术后1个月和3个月复诊时进行焦虑自评量表（SAS）与抑郁自评量表（SDS）评分。结果研制出以信息模块、动机模块、行为模块为主体框架的康复应用软件。使用该软件进行康复训练的试验组与对照组比较结果显示，2组术前SAS和SDS评分差异无统计学意义（t=-0．648、-0．284，P〉0．05），术后1个月和3个月，试验组SAS评分（40．05±6．77）、（32．01±5．86）分，均低于对照组（45．50±11．32）、（39．55±5．67）分，差异有统计学意义（t=-4．14、-4．89，P〈0．01），试验组SDS评分（42．30±9．86）、（33．23±6．56）分，均低于对照组（46．50±10．32）、（38．45±7．80）分，差异有统计学意义（t=-3．52、-3．82，P=0．001）。结论老年骨折康复应用软件为患者提供专业指导与康复干预，推动老年患者主动康复行为的实现，提高老年骨折患者康复依从性，改善患者康复结局。Objective To evaluate the effect of the rehabilitation software based on information- motivation- behavioral skills （IMB）model on meeting the rehabilitation needs, increasing the continuation of rehabilitation and the rehabilitation compliance, improving the outcome of rehabilitation among elderly patients with fracture. Methods Based on the theory of ＂information- motivation- behavior＂ and the unity of human- computer interaction as the design concept, the status quo of rehabilitation training and rehabilitation needs of elderly patients with fracture were reviewed. The rehabilitation training test was applied to 30 patients with fracture in orthopedic department of our hospital. 30 patients in the same period were randomly selected as control group. All patients underwent Self- Rating Anxiety Scale （SAS） and Self- rating Depression Scale （SDS） scores before and 1 and 3 months after operation. Differences were tested using Student＇s t test. Results Developed rehabilitation application software based on information module, motivation module and behavior module. The test group using this software for rehabilitation training was compared with the control group. The results showed that there was no significant difference in preoperative SAS and SDS scores between the two groups （t=-0.648, -0.284, P 〉 0.05）. At 1 and 3 months after operation, the SAS scores in the test group were （40.05 ±6.77）, （32.01 ±5.86）, which were lower than （45.50 ± 11.32）, （39.55 ±5.67） in the control group （t=-4.14,-4.89, P〈 0.01）. The SDS scores in the test group were （42.30 ± 9.86）, （33.23 ± 6.56）, which were lower than （46.50 ±10.32）, （38.45 ±7.80） in the control group （t=-3.52,-3.82, P=0.001）. Conclusion Rehabilitation software can influence the rehabilitation behavior of elderly fracture patients from information and motivation factors, provide professional guidance and rehabilitation intervention, and promote the implementation of active rehabilitation.

关 键 词：老年人 骨折 信息-动机-行为理论 康复软件 

分 类 号：TP311.52[自动化与计算机技术—计算机软件与理论] R473.6[自动化与计算机技术—计算机科学与技术]