3H护理模式对胫腓骨骨折患者术后自我效能的影响  

Effect of 3H nursing model on postoperative self-efficacy of patients with tibia and fibula fractures

作　　者：代文娟 张锐 于洋[1] 谢婷 张海娇 DAI Wen-juan;ZHANG Rui;YU Yang;XIE Ting;ZHANG Hai-jiao(Department of Orthopedics,General Hospital of Ningxia Medical University,Yinchuan,Ningxia,750001,China;Department of Emergency,General Hospital of Ningxia Medical University,Yinchuan,Ningxia,750001,China)

机构地区：[1]宁夏医科大学总医院骨科,宁夏银川750001 [2]宁夏医科大学总医院急诊科,宁夏银川750001

出　　处：《中西医结合护理（中英文）》2021年第3期42-45,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨3H(Hotel,Hospital,Home)护理模式对胫腓骨骨折患者术后自我效能的影响。方法采用随机数字表法将2019年5月至2020年5月于宁夏医科大学总医院行手术内固定治疗的89例胫腓骨骨折患者分为对照组(n=44)和观察组(n=45)。对照组患者术后采用常规护理,观察组患者术后采用3H护理模式。比较两组患者的术后疼痛、肿胀消退率、自我效能和应对方式。结果术后3 d和5 d,两组的视觉模糊评分法(VAS)评分均显著低于术后1 d(P值均<0.05),肿胀消退率均显著高于术后1 d(P值均<0.05);且观察组的VAS评分均显著低于对照组(P值均<0.05),肿胀消退率均显著高于对照组(P值均<0.05)。术后14 d,两组的自我效能量表(GSES)评分和积极应对方式评分均显著高于术后1 d(P值均<0.05),消极应对方式评分均显著低于术后1 d(P值均<0.05);且观察组的GSES评分和积极应对方式评分均显著高于对照组(P值均<0.05),消极应对方式评分显著低于对照组(P<0.05)。结论3H护理模式能够减轻胫腓骨骨折患者术后疼痛和肿胀程度,改善其自我效能和应对方式。Objective To explore the effect of 3H(Hotel,Hospital,Home)nursing model on postoperative self-efficacy of patients with tibia and fibula fractures.Methods A total of 89 patients who underwent internal fixation of tibia and fibula fractures at General Hospital of Ningxia Medical University from May 2019 to May 2020 were divided into a control group(n=44)and an observation group(n=45)by using a random number table.The control group was treated with routine nursing,and the observation group was treated with 3H nursing model after operation.The postoperative pain,rate of swelling subsidence,self-efficacy and coping style of the two groups was compared.Results At 3 and 5 days after operation,the scores of visual analogue scale(VAS)were significantly lower than those at 1 day after operation(all P<0.05),and rate of swelling subsidence of the two groups were significantly higher than those at 1 day after operation(all P<0.05).The VAS scores of the observation group were significantly lower than those of the control group(both P<0.05),and the rate of swelling subsidence was significantly higher than that of the control group(both P<0.05).At 14 days after operation,the scores of general self-efficacy scale(GSES)and positive coping style scores of the two groups were significantly higher than those at 1 day after the operation(all P<0.05),and the negative coping style scores were significantly lower than those at 1 day after the operation(both P<0.05).The GSES scores and positive coping style scores of the observation group were significantly higher than those of the control group(both P<0.05),and the negative coping style scores were significantly lower than those of the control group(P<0.05).Conclusion The 3H nursing model can reduce postoperative pain and swelling of patients with tibia and fibula fractures,and improve self-efficacy and coping styles.

关 键 词：3H护理模式 胫腓骨骨折 自我效能 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]