自我效能理论在老年全髋关节置换术后功能锻炼中的应用  

Application of Self-efficacy Theory in Functional Exercise After THR in Elderly Patients

作　　者：胡薇[1] 李晰[1] 陈依媄[1] 林晶[1] 朱萍钗[1] HU Wei;LI Xi;CHEN Yi Mei;LIN Jing;ZHU Pingchai(First Department of Orthopaedics,Fujian Provincial Hospital,Fuzhou Fujian 350001,China)

机构地区：[1]福建省立医院骨一科,福建福州350001

出　　处：《中国卫生标准管理》2018年第23期190-192,共3页China Health Standard Management

摘　　要：目的探讨自我效能理论在老年人工全髋关节置换术(Total hip replacement,THR)后功能锻炼中应用的临床效果。方法纳入64例THR患者,将其随机分成对照组和干预组各32例。对照组给予骨科术后常规护理及健康教育;干预组在对照组基础上给予增强患者自我效能感的护理措施,并随访3个月。比较干预组和对照组患者自我效能评分和Harris评分。结果干预组术后1个月自我效能评分平均达(37.05±5.22)分,明显高于对照组。术后1个月及3个月院外随访Harris评分也明显高于对照组(P <0.05)。结论自我效能理论的应用能充分调动老年全髋关节置换术后患者自身潜能,增加自信心,提高功能锻炼效果,提高生活质量。Objective To explore the clinical effect of self-efficacy theory in functional exercise after total hip replacement(THR)in the elderly.Methods 64 elderly patients with THA were randomly divided into control group(32 cases)and experimental group(32 cases).The control group was given routine nursing and health education after total hip arthroplasty;the experimental group was given nursing measures to enhance patients'selfefficacy on the basis of the control group,and followed up for 3 months.The self-efficacy score and Harris score were compared between the experimental group and the control group.Results The self-efficacy score of the experimental group was significantly higher than that of the control group at one month after operation.The Harris scores of one month and three months after operation(P<0.05).Conclusion The application of selfefficacy theory can fully mobilize the potential of elderly patients after THP,increase self-confidence,improve the effect of functional exercise,thus effectively promote the functional recovery of elderly patients,improve the quality of life.

关 键 词：自我效能理论 老年人 全髋置换术 功能锻炼 护理 健康教育 

分 类 号：R473[医药卫生—护理学]