自我效能增强干预对股骨颈骨折术后功能训练依从性及康复进程的影响  

Effects of Enhanced Self-efficacy Intervention on Functional Training Compliance and Rehabilitation Process after Femoral Neck Fractures Surgery

作　　者：姜萍[1] 李萱[1] JIANG Ping;LI Xuan(Tianyou Hospital Affiliated to Wuhan University of Science & Technology,Wuhan 430000,China)

机构地区：[1]武汉科技大学附属天佑医院,湖北武汉430000

出　　处：《中外医学研究》2019年第11期181-183,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究自我效能增强干预对股骨颈骨折术后功能训练依从性及康复进程的影响。方法:选取2015年3月-2018年3月笔者所在医院骨科收治的108例(单患肢)股骨颈骨折患者作为研究对象,按照随机数字法分为观察组和对照组,各54例。予对照组常规护理,试验组在对照组基础上行自我效能增强干预护理。观察比较两组患者术后1周、出院4周时的心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)],康复进程[髋关节功能评分表(Harris)、膝关节功能评分表(HSS)]评分差异及术后1周时的锻炼依从性。结果:观察组患者出院4周时的HAMA和HAMD评分较术后1周时评分低,且观察组低于对照组(P<0.05)。观察组患者术后1周时锻炼依从性高于对照组(P<0.05)。观察组患者出院4周时Harris和HSS评分较术后1周时高,且观察组高于对照组(P<0.05)。结论:自我效能增强干预不仅可以减轻患者心理压力、增强患者战胜疾病的信心,而且还能提高患者术后功能训练依从性,缩短患者康复进程。Objective:To explore the effects of enhanced self-efficacy intervention on functional training compliance and rehabilitation process after femoral neck fractures surgery.Method:A total of 108 patients with(single affected limb) femoral neck fractures who were admitted to orthopedics department of our hospital from March 2015 to March 2018 were selected for the study and were divided into the observation group and the control group according to the random number table method,with 54 cases in each group.The control group was given routine nursing,and the observation group was given enhanced self-efficacy intervention nursing on the basis of control group.The psychological status,such as Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD),rehabilitation process such as hip function score(Harris),knee function score(HSS) score at 1 week after surgery and at 4 weeks after discharge,and exercise compliance at 1 week after surgery were observed and compared between the two groups.Result:The scores of HAMA and HAMD in the observation group at 4 weeks after discharge were lower than those at 1 week after surgery,and the scores in the observation group were lower than those in the control group(P<0.05).The exercise compliance at 1 week after surgery in the observation group was lower than that in the control group(P<0.05).The scores of Harris and HSS in observation group at 4 weeks after discharge were higher than those at 1 week after surgery,and the scores in the observation group were higher than those in the control group(P<0.05).Conclusion:Enhanced self-efficacy intervention can not only reduce the psychological stress,enhance the confidence in fighting the disease,but also improve the postoperative functional training compliance and shorten the rehabilitation process of patients.

关 键 词：自我效能 股骨颈骨折 骨科术后功能锻炼 依从性 康复 

分 类 号：R473.6[医药卫生—护理学]