影视教育联合健康赋权理论在老年膝关节置换术患者康复训练中的应用效果  

Effects of video teaching combined with empowerment theory on rehabilitation training in elderly patients undergoing total knee arthroplasty

作　　者：康颖[1] 邢莉 张艳[1] Kang Ying;Xing Li;Zhang Yan(Department of Orthopaedics,Tianjin Fifth Central Hospital,Tianjin 300451,China)

机构地区：[1]天津市第五中心医院骨科,300451

出　　处：《中国实用护理杂志》2020年第7期481-485,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨影视教育联合健康赋权理论对老年膝关节置换术(TKA)患者康复训练积极性与预后的影响。方法选取2017年9月至2018年9月行TKA治疗的老年患者174例,采用随机数字表法分为对照组和观察组,每组87例,对照组采用常规护理,观察组在对照组基础上实施影视教育联合健康赋权理论的康复训练指导,干预时间3个月,采用患者积极度量表(PAM)评价2组参与康复训练的积极性,采用美国特种外科医院膝关节评分系统(HSS)评价2组患者治疗效果。结果观察组干预后PAM认知、技能、行动、信念维度和总分分别为(11.24±1.49)、(31.94±3.59)、(22.59±3.02)、(16.82±2.34)、(82.59±6.29)分,明显高于对照组的(9.42±1.47)、(29.48±4.29)、(20.24±3.31)、(14.29±2.57)、(73.43±5.63)分,差异有统计学意义(t值为4.102~10.121,均P<0.01)。观察组干预后HSS评分为(79.24±3.78)分,明显高于对照组的(72.45±3.13)分,差异有统计学意义(t值为12.905,P<0.01)。结论基于影视教育联合健康赋权理论的康复训练指导能够提高老年TKA患者参与康复训练的积极性,显著改善膝关节功能恢复效果。Objective To investigate the effects of video teaching combined with empowerment theory on activation of rehabilitation training and prognosis in elderly patients undergoing total knee arthroplasty(TKA).Methods A total of 174 elderly TKA patients from September 2017 to September 2018 were selected and assigned into 2 groups(87 cases each group)by random number table,the control group was given routine nursing,on the basis of the control group,the observation group was given rehabilitation training instruction based on video teaching and empowerment theory.The time of intervention was 3 months.Patient Activation Measure(PAM)was used to assess the activation of rehabilitation training of patients in the 2 groups,Hospital for Special Surgery knee Score(HSS)was used to assess the patients′prognosis.Results After intervention,the scores of cognitive,skill,action,belief dimensions and the total score of the observation group were(11.24±1.49),(31.94±3.59),(22.59±3.02),(16.82±2.34),(82.59±6.29)significantly higher than(9.42±1.47),(29.48±4.29),(20.24±3.31),(14.29±2.57),(73.43±5.63)of the control group,the difference was significant(t value was 4.102-10.121,all P<0.01).After intervention,the HSS scores of the observation group was(79.24±3.78),which was significantly higher than(72.45±3.13)of the control group(t value was 12.905,P<0.01).Conclusions The rehabilitation training instruction based on video teaching combined with empowerment theory can improve activation of rehabilitation training and function recovery of knee joint in elderly TKA patients.

关 键 词：健康教育 健康赋权理论 膝关节置换术 康复训练 

分 类 号：R473[医药卫生—护理学]