断指再植康复期病人手功能锻炼依从性现状及影响因素分析  

Status quo and influencing factors of hand functional exercise compliance of patients during the rehabilitation period of severed finger replantation

作　　者：张英群 何平平 陈莉[2] 刘梦琪 刘雅婷 田丹丹 ZHANG Yingqun;HE Pingping;CHEN Li;LIU Mengqi;LIU Yating;TIAN Dandan(School of Nursing,Hengyang Medical School,University of South China,Hunan 421001 China;Affiliated Nanhua Hospital,University of South China,Hunan 421000 China)

机构地区：[1]南华大学衡阳医学院护理学院,421001 [2]南华大学附属南华医院,421000 [3]湖南师范大学医学院,410205

出　　处：《全科护理》2024年第4期714-718,共5页Chinese General Practice Nursing

基　　金：湖南省自然科学基金面上项目,编号:2023JJ30426。

摘　　要：目的:探讨断指再植康复期病人手功能锻炼依从性现状及其影响因素。方法:采用便利抽样法,选取2022年5月—2023年5月在衡阳市某三级甲等医院进行断指再植术的154例病人作为调查对象,采取一般资料调查表、疼痛数字评定量表、骨科病人功能锻炼依从性量表、运动自我效能量表和社会支持评定量表进行调查。结果:断指再植康复期病人手功能锻炼依从性得分为(45.09±11.20)分。多元线性回归分析结果显示,文化程度、个人月收入、疼痛程度、运动自我效能、社会支持是断指再植康复期病人手功能锻炼依从性的影响因素(P<0.05)。结论:断指再植康复期病人手功能锻炼依从性有待进一步提高且受多种因素的影响,医护人员需结合病人的个体情况制定针对性的功能锻炼策略。Objective:To investigate the status quo and influencing factors of hand function exercise compliance of patients during the rehabilitation period of severed finger replantation.Methods:A total of 154 patients undergoing finger reimplantation in a Grade A hospital in Hengyang City from May 2022 to May 2023 were selected by convenience sampling method.General Information Questionnaire,Numerical Rating Scale(NRS),Compliance Scale of Functional Exercise for Orthopedic Patients Scale,Self-Efficacy for Exercise Scale(SEE),Social Support Rating Scale(SSRS)were used to investigate.Results:The score of hand function exercise compliance was(45.09±11.20)in the rehabilitation period of severed finger replantation.The results of multiple linear regression analysis showed that education level,personal monthly income,pain degree,sports self-efficacy and social support were the influencing factors of hand function exercise compliance of patients during finger reattachment rehabilitation(P<0.05).Conclusions:Patients′compliance with hand function exercise during the rehabilitation period of severed finger replantation needs to be further improved and is affected by many factors.Medical staff should formulate targeted functional exercise strategies according to the individual conditions of patients.

关 键 词：断指再植 功能锻炼 手功能 影响因素 

分 类 号：R473.6[医药卫生—护理学]