信息化的情景互动式健康宣教在髋关节置换术患者中的应用效果  

Application effect of situational interactive health education based on information technology in patients with hip replacement

作　　者：霍婷婷 区智凤[1] 黄泳梅[1] 杜间开[1] 李宇红 冯月景[1] HUO Tingting;OU Zhifeng;HUANG Yongmei;DU Jiankai;LI Yuhong;FENG Yuejing(Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院骨伤科中心,528000

出　　处：《中国健康心理学杂志》2023年第12期1806-1810,共5页China Journal of Health Psychology

基　　金：广东省中医药局面上项目(编号:20222213);佛山市卫生健康局医学科研课题(编号:20210090)。

摘　　要：目的:探讨基于信息化的情景互动式健康宣教在髋关节置换术患者中的应用效果。方法:选择2019年3月-2020年12月71例患者为对照组,2021年1月-2022年10月73例患者为研究组,患者均行髋关节置换术,对照组围手术期间予以常规健康宣教,研究组予以基于信息化的情景互动式健康宣教。比较两组患者康复训练依从性,宣教前后髋关节功能评分、自我感受负担及生活质量评分。结果:研究组患者康复训练依从性均优于对照组(Z=7.475,P<0.05)。两组患者干预后畸形、关节活动度、疼痛以及功能等髋关节功能评分及总分均较干预前上升(t=10.200,13.947,17.512,32.349,28.486,23.214,30.869,32.755,35.152,37.513;P<0.05);研究组患者干预后显著高于对照组(t=6.707,11.351,10.039,7.973,7.730;P<0.05)。两组患者干预后经济因素、情感因素以及身体因素等自我感受负担评分及总分较干预前显著下降(t=8.060,12.865,12.998,15.913,7.185,26.400,34.937,34.424;P<0.05),干预后研究组均低于对照组(t=-8.552,-11.367,-10.344,-10.250;P<0.05)。两组患者干预后生理功能、生理职能、身体疼痛、社会功能、精力、健康状况、情感职能、精神健康等生活质量评分及总分均较宣教前上升(t=17.338,16.295,27.921,22.817,18.128,20.121,11.170,12.595,16.954,31.679,35.854,58.542,38.201,39.657,45.512,20.01324.541,29.579;P<0.05);研究组患者均显著高于对照组(t=9.530,7.856,15.307,8.733,13.239,15.535,5.729,6.822,8.942;P<0.05)。结论:髋关节置换术患者应用基于信息化的情景互动式健康宣教有助于提高患者康复训练依从性及髋关节功能恢复,减轻患者自我感受负担,提高生活质量。Objective:To explore the application effect of situational interactive health education based on information technology in patients with hip replacement.Methods:A total of 71 patients from March 2019 to December 2020 were selected as the control group,and 73 patients from January 2021 to October 2022 were selected as the study group.All patients underwent hip replacement.The control group received routine health education during perioperative period,and the study group received situational interactive health education based on information.The compliance of rehabilitation training,hip function score,perceived burden and quality of life score before and after education were compared between the two groups.Results:The compliance of rehabilitation training in study group was better than that in control group(Z=7.475,P<0.05).The hip function scores and total scores of deformity,range of mo-tion,pain and function in both groups were higher after education than before education(t=10.200,13.947,17.512,32.349,28.486,23.214,30.869,32.755,35.152,37.513;P<0.05);Patients in the study group were significantly higher than those in the control group after education(t=6.707,11.351,10.039,7.973,7.730;P<0.05).After education,the scores and total scores of economic,emotional and physical factors were significantly lower than those before education(t=8.060,12.865,12.998,15.913,7.185,26.400,34.937,34.424;P<0.05),the study group were lower than the control group after education(t=-8.552,-11.367,-10.344,-10.250;P<0.05).Life quality scores and total scores of physiological function,physiological function,physical pain,social function,energy,health status,emotional function and mental health in both groups increased after education compared with that before education(t=17.338,16.295,27.921,22.817,18.128,20.121,11.170,12.595,16.954,31.679,35.854,58.542,38.201,39.657,45.512,20.01324.541,29.579;P<0.05);The patients in the study group were significantly higher than those in the control group(t=9.530,7.856,15.307,8.733,13.239,15.535,5.729,6.82

关 键 词：信息化的情景互动式健康宣教 髋关节置换术 康复训练依从性 负性情绪 自我感受负担 

分 类 号：R395.5[哲学宗教—心理学]