保护动机理论下的个体化时间康复训练在老年脊柱骨折患者术后康复中的应用  

Application of individualized time rehabilitation training based on protection motivation theory in postoperative rehabilitation of elderly patients with spinal fracture

作　　者：褚婷婷 王婧[1] CHU Tingting;WANG Jing(Zhongda Hospital Southeast University,Nanjing,Jiangsu,210000,China)

机构地区：[1]东南大学附属中大医院,江苏南京210000

出　　处：《中西医结合护理（中英文）》2023年第12期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 分析保护动机理论下的个体化时间康复训练在老年脊柱骨折患者术后康复中的应用效果。方法 选取2020年1月至2022年8月在东南大学附属中大医院行脊柱骨折手术的100例老年患者为研究对象,将其按照随机数字表法分入2组,每组50例。对照组行常规康复护理,观察组给予保护动机理论下的个体化时间康复训练。比较2组的护理效果。结果 观察组的术后下床活动时间、消肿时间及骨折愈合时间均早于对照组,住院时间短于对照组,并发症总发生率低于对照组,完全依从率高于对照组(P均<0.05)。护理1个月后,观察组的骨质疏松症自我效能表(OSES)和日常生活活动能力量表(ADL)评分均高于对照组(P均<0.05),骨质疏松知识测试问卷(OKT)评分与对照组相比无统计学差异(P>0.05);护理3个月后,观察组的OKT、OSES和ADL评分均高于对照组(P均<0.05)。结论 保护动机理论下的个体化时间康复训练可促进老年脊柱骨折患者的术后康复,减少术后并发症的发生,减轻骨质疏松症状,提高其自我效能、自理能力和依从性。Objective To analyze the application effect of individualized time rehabilitation training based on protection motivation theory in the postoperative rehabilitation of elderly patients with spinal fracture.Methods From January 2020 to August 2022,100 elderly patients who underwent spinal fracture surgery at Zhongda Hospital Southeast University were selected as research subjects,and they were divided into two groups via random number table method,each with 50 patients.The control group received routine rehabilitation nursing,while the observation group received individualized time rehabilitation training based on protection motivation theory.The effect of nursing was compared between the two groups.Results The time of postoperative ambulation,the time of detumescence,and the time of fracture healing in the observation group were earlier than those in the control group,and the hospitalization time was shorter than that in the control group(all P<0.05).The overall incidence of complications was lower than that in the control group,and the complete compliance rate was higher than that in the control group(both P<0.05).After 1 month of nursing,the scores of the Osteoporosis Self-Efficacy Scale(OSES)and the Activities of Daily Living Scale(ADL)in the observation group were higher than those in the control group(both P<0.05),and the score of the Osteoporosis Knowledge Test(OKT)in the observation group was not significantly different from that in the control group(P>0.05).After 3 months of nursing,the OKT,OSES,and ADL scores in the observation group were higher than those in the control group(all P<0.05).Conclusion Individualized time rehabilitation training based on protection motivation theory can promote the postoperative rehabilitation of elderly patients with spinal fracture,reduce the occurrence of postoperative complications,reduce the symptoms of osteoporosis,and improve their self-efficacy,self-care ability and compliance.

关 键 词：脊柱骨折 老年 保护动机理论 个体化时间 康复训练 

分 类 号：R473.6[医药卫生—护理学]