增强自我效能干预对股骨颈骨折患者功能恢复的影响  

Effect of self-efficacy enhancement on functional recovery in patients with femoral neck fracture

作　　者：周月琴[1] 陈肖[1] 汤样华[2] Zhou Yueqin;Chen Xiao;Tang Yanghua(Department of Surgery,Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine,Hangzhou 311200,China;Department of Orthopedics,Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine,Hangzhou 311200,China)

机构地区：[1]杭州市萧山区中医院外科,杭州311200 [2]杭州市萧山区中医院骨科,杭州311200

出　　处：《中华现代护理杂志》2022年第28期3950-3954,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2019KY548)。

摘　　要：目的探讨增强自我效能干预在股骨颈骨折患者中的应用效果。方法采用便利抽样法,选取2019年1月—2021年3月杭州市萧山区中医院收治的80例股骨颈骨折患者为研究对象,按照入院时间分组,将2019年1—12月入院的40例患者作为对照组,2020年1月—2021年3月入院的40例患者作为观察组。对照组采用常规护理干预,观察组采用增强自我效能干预。比较两组患者不同时间点自我效能(SER)、功能锻炼依从性、髋关节功能(HHS)得分差异。结果出院时、术后1个月、术后3个月观察组SER评分高于对照组(P<0.05);出院时、术后1个月、术后3个月观察组功能锻炼依从性评分高于对照组(P<0.05);出院时、术后1个月、术后3个月观察组HHS评分高于对照组(P<0.05)。结论增强自我效能干预能提高股骨颈骨折患者的自我效能,提高患者功能锻炼依从性,促进髋关节功能恢复。Objective To explore the effect of self-efficacy enhancement in patients with femoral neck fracture.Methods Using the convenience sampling,80 patients with femoral neck fractures admitted to Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine from January 2019 to March 2021 were selected as the research object.According to the admission time,40 patients admitted to the hospital from January to December 2019 were selected as the control group,and 40 patients admitted to the hospital from January 2020 to March 2021 were selected as the observation group.The control group received routine nursing,while the observation group was given self-efficacy enhancement.The differences in Self-efficacy Rehabilitation Outcome Scale(SER)scores,functional exercise compliance and Harris Hip Score(HHS)scores at different time points were compared between the two groups.Results The SER score of the observation group was higher than that of the control group at the time of discharge,one month after operation,and three months after operation(P<0.05).The functional exercise compliance scores of the observation group were higher than those of the control group at the time of discharge,one month after operation,and three months after operation(P<0.05).The HHS score of the observation group was higher than that of the control group at the time of discharge,one month after operation,and three months after operation(P<0.05).Conclusions Self-efficacy enhancement can enhance the self-efficacy of patients with femoral neck fracture,improve their compliance with functional exercise,and promote functional recovery of the hip joint.

关 键 词：康复 股骨颈骨折 自我效能 功能锻炼 依从性 髋关节功能 

分 类 号：R473.6[医药卫生—护理学]