基于信息-动机-行为理论指导的分级康复方案对胫腓骨骨折术后患者恢复的影响  

Effect of graded rehabilitation program guided by information-motivation-behavior theory on recovery of patients after tibial and fibula fractures

作　　者：张会君 胡静[1] ZHANG Huijun;HU Jing(Department of Microreconstructive Surgery,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院显微修复外科,新疆乌鲁木齐830000

出　　处：《中国医药导报》2024年第1期194-196,F0003,共4页China Medical Herald

摘　　要：目的探讨基于信息-动机-行为(IMB)理论指导下的分级康复方案对胫腓骨骨折术后患者恢复的影响。方法前瞻性纳入医院在2021年6月至2022年6月收治的100胫腓骨骨折术后患者,利用计算机生成的随机数字将患者分为试验组(50例)和对照组(50例)。对照组接受常规康复方案干预,试验组在对照组基础上采取基于IMB理论指导下的分级康复方案干预,以干预3个月为评价节点,评价指标包括膝关节功能[使用纽约特种外科医院膝关节评分量表(HSS)评估]、自我效能感[使用一般自我效能感量表(GSES)评估]及康复训练依从性。结果干预3个月,两组HSS、GSES评分高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组干预期间康复训练整体依从性优于对照组,差异有统计学意义(P<0.05)。结论胫腓骨骨折术后患者应用基于IMB理论指导下的分级康复方案干预,可提高自我效能感及康复训练依从性,促进术后膝关节功能恢复。Objective To explore the effect of graded rehabilitation program guided by information-motivation-behavior(IMB)theory on the recovery of patients after tibia and fibula fracture.Methods A total of 100 patients with tibia and fibula fractures were prospectively enrolled in the hospital from June 2021 to June 2022,and were divided into experimental group(50 cases)and control group(50 cases)using computer-generated random numbers.The control group received the conventional rehabilitation program intervention,and the experimental group received the graded rehabilitation program intervention based on the guidance of IMB theory on the basis of the control group,with the intervention for three months as the evaluation node.The evaluation measures included knee function(assessed by the New York Hospital for special surgery knee score scale[HSS]),self-efficacy(assessed by the general self-efficacy scale[GSES]),and compliance with rehabilitation training.Results After three months of intervention,HSS and GSES scores of the two groups were higher than before intervention,while those of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The overall compliance of rehabilitation training in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of graded rehabilitation program under the guidance of IMB theory can improve the self-efficacy and compliance of rehabilitation training,and promote the functional recovery of knee joint after tibia and fibula fracture.

关 键 词：胫腓骨骨折 信息-动机-行为理论 膝关节功能 自我效能感 

分 类 号：R683.42[医药卫生—骨科学]