基于希望理论的阶段性健康教育对全膝关节置换术后用药康复效果的影响  

Effect of Phased Health Education Based on Hope Theory on the Rehabilitation Effect of Medication After Total Knee Arthroplasty

作　　者：王元元 韩会萍 刘凤花[1] 李晨晨 WANG Yuanyuan;HAN Huiping;LIU Fenghua;LI Chenchen(Orthopedics Department of Shangqiu First People’s Hospital,Shangqiu 476100,Henan,China;Shangqiu City Suiyang District CDC,Shangqiu 476005,Henan,China)

机构地区：[1]商丘市第一人民医院骨科,河南商丘476100 [2]商丘市睢阳区疾控中心,河南商丘476005

出　　处：《中国药物滥用防治杂志》2023年第10期1868-1872,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:2018020950)。

摘　　要：目的:探讨基于希望理论的阶段性健康教育对全膝关节置换术后恐动程度和用药依从性的影响。方法:选取我院2021年1月—2022年6月收治的94例全膝关节置换术后患者作为研究对象,按照简单随机化法分为对照组47例(行全膝关节置换术后常规护理干预)和观察组47例(行基于希望理论的阶段性健康教育),比较两组恐动程度、膝关节功能、康复锻炼依从性及用药依从性。结果:干预3个月及干预6个月后,观察组恐动症评分低于对照组,膝关节功能评分高于对照组(P<0.05);干预6个月后,观察组患者康复锻炼总依从率为93.62%,高于对照组的76.60%(P<0.05);观察组用药总依从率为95.74%,高于对照组的78.72%(P<0.05)。结论:对全膝关节置换术后患者进行基于希望理论的阶段性健康教育能有效降低恐动程度,改善膝关节功能,提高康复锻炼依从性及用药依从性。Objective:To explore the effect of phased health education based on hope theory on phobia and medication compliance after total knee arthroplasty.Methods:A total of 94 patients after total knee arthroplasty admitted to our hospital from January 2021 to June 2022 were selected as the research objects.According to the simple randomized method,they were divided into a control group(47 patients,with routine nursing intervention after total knee arthroplasty)and an observation group(47 patients,with phased health education based on the hope theory).The degree of phobia,knee function,rehabilitation exercise compliance and medication compliance of the two groups were compared.Results:After 3 months of intervention and 6 months of intervention,the observation group had lower scores of phobia than the control group,and higher scores of knee joint function than the control group(P<0.05).After 6 months of intervention,the total compliance rate of rehabilitation exercise in the observation group was 93.62%,which was higher than 76.60%in the control group(P<0.05).The total compliance rate of medication in the observation group was 95.74%,which was higher than 78.72%in the control group(P<0.05).Conclusion:Phased health education based on hope theory for patients after total knee arthroplasty can effectively reduce the degree of phobia,improve the function of knee joint,and improve the compliance of rehabilitation exercise and medication.

关 键 词：希望理论 阶段性健康教育 全膝关节置换术 恐动症 

分 类 号：R473.6[医药卫生—护理学]