髋关节置换术后患者不同阶段院外功能锻炼依从性与健康信念的动态变化及其相关性  

Dynamic Changes and Correlation of Out-of-hospital Functional Exercise Compliance and Health Belief in Patients at Different Stages after Hip Replacement

作　　者：杜静静 杨慧敏[1] 赵丹[1] Du Jingjing;Yang Huimin;Zhao Dan(Henan Provincial People′s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2020年第22期4-7,共4页Journal of Qilu Nursing

摘　　要：目的:探讨髋关节置换术后患者不同阶段院外功能锻炼依从性与健康信念的动态变化,分析两者的相关性。方法:将2017年10月1日~2019年10月31日行髋关节置换手术治疗的100例患者作为研究对象,采用健康信念量表、自制院外功能锻炼依从性调查问卷在其疾病恢复不同阶段进行调查、评估。结果:术后1、3、6个月时患者功能锻炼总依从性比较差异有统计学意义(P<0.05),并且积极探寻建议依从性、锻炼监测依从性以及肢体锻炼依从性均呈下降趋势;术后1、3、6个月时患者健康信念总分比较差异有统计学意义(P<0.05);术后1、3、6个月时患者在感受到存在威胁、感受到存在资源利用以及个人健康信念方面得分比较差异有统计学意义(P<0.05);术后1、3、6个月时患者功能锻炼依从性与健康信念之间存在正相关性。结论:髋关节置换术后,随着出院时间的延长,患者功能锻炼依从性逐渐下降,医护人员需依据患者自身健康信念及时予以有效干预,确保其功能锻炼依从性始终处于较高水平。Objective:To investigate the dynamic changes of compliance with out-of-hospital functional exercise and health belief in patients at different stages after hip replacement,and analyze the correlation between them.Methods:A total of 100 patients who underwent hip replacement surgery from October 1,2017 to October 31,2019 were investigated and evaluated at different stages of their disease recovery using the health belief assessment Scale and the self-made out-of-hospital functional exercise compliance questionnaire.Results:At 1,3 and 6 months after the operation,there were statistically significant differences in the patients′total compliance with functional exercise(P<0.05),and the suggestion compliance,exercise monitoring compliance and limb exercise compliance were all in a downward trend.There were statistically significant differences in the total score of patients′health beliefs at 1,3 and 6 months after surgery(P<0.05).At 1,3 and 6 months after surgery,there were statistically significant differences in the scores of perceived threat,perceived resource utilization and personal health beliefs(P<0.05).There was a positive correlation between patients′compliance with functional exercise and their health beliefs at 1,3 and 6 months postoperatively.Conclusion:With the extension of discharge time after hip replacement,patients′compliance with functional exercise gradually declines,and medical staff should timely and effectively intervene according to patients′own health beliefs to ensure that their compliance with functional exercise is always at a high level.

关 键 词：髋关节置换术 健康信念 依从性 院外功能锻炼 

分 类 号：R473.6[医药卫生—护理学]