健康意识理论护理在股骨颈骨折术后康复患者中的应用效果  

Application effects of health consciousness theory nursing in rehabilitation of patients after femoral neck fracture surgeries

作　　者：张利阳 兰伟红[1] ZHANG Liyang;LAN Weihong(Second Department of Orthopaedics of Zhengzhou Orthopaedic Hospital,Zhengzhou 450052 Henan,China)

机构地区：[1]郑州市骨科医院下肢骨科二,河南郑州450052

出　　处：《中国民康医学》2023年第8期159-162,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察健康意识理论护理在股骨颈骨折术后康复患者中的应用效果。方法:选取2019年5月至2020年12月该院收治的154例股骨颈骨折术后康复患者进行前瞻性研究,按随机数字表法将其分为观察组和对照组各77例。对照组采用常规护理,观察组在对照组基础上采用健康意识理论护理,比较两组护理前后肢体功能[髋关节评分表(Harris)]评分、日常生活能力[Bathel指数]评分、自我效能感[自我效能感量表(GSES)]评分和知信行评分。结果:护理3、6个月后,两组Harris评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组Bathel指数评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组知信行各项评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用健康意识理论护理可提高股骨颈骨折术后康复患者Harris评分、Bathel指数评分、GSES评分和知信行各项评分,其效果优于单纯常规护理。Objective:To observe application effects of health consciousness theory nursing in rehabilitation of patients after femoral neck fracture surgeries.Methods:A prospective study was conducted on 154 rehabilitation patients after the femoral neck fracture surgeries admitted to the hospital from May 2019 to December 2020.According to the random number table method,they were divided into observation group and control group,77 cases in each group.The control group was given routine nursing,while the observation group was given the health consciousness theory nursing on the basis of that of the control group.The limb function[hip score(Harris)]score,the activities of daily living ability(Bathel index)score,the self-efficacy[general self-efficacy scale(GSES)]score,and the knowledge-attitude-practice score were compared between the two groups before and after the nursing.Results:After 3 and 6 months of nursing,the Harris scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The Bathel index scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The GSES scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the scores of knowledge-attitudepractice in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the health consciousness theory nursing can improve the Harris score,Bathel index score,GSES score and knowledge-attitude-practice score of the rehabilitation patients after the femoral neck fracture su

关 键 词：健康意识理论 护理 股骨颈骨折术后 自我效能感 日常生活能力 肢体功能 知信行 

分 类 号：R473.6[医药卫生—护理学]