基于社会认知理论的反馈式教育对全膝关节置换术后患者康复的影响  

Effect of teach-back based on Social Cognitive Theory on recovery of patients after total knee arthroplasty

作　　者：王子豪 李昕华[2] 郭赛男 梁秋曼 史婷奇 Wang Zihao;Li Xinhua;Guo Sainan;Liang Qiuman;Shi Tingqi(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023 [2]南京大学医学院附属鼓楼医院运动医学与成人重建外科 [3]南京大学医学院

出　　处：《护理学杂志》2024年第5期87-91,共5页Journal of Nursing Science

基　　金：南京大学中国医院改革发展研究院课题项目(NDYG2022067);2022年度南京市卫生科技发展专项资金项目(YKK22074)。

摘　　要：目的 探讨基于社会认知理论的反馈式教育对全膝关节置换术后出院患者短期康复的效果。方法 将100例单侧全膝关节置换术患者随机分为对照组和观察组各50例。对照组采用常规干预,观察组在社会认知理论指导下设计基于反馈式教育的康复方案并进行干预。比较两组出院前及出院4周的康复锻炼自我效能、康复锻炼依从性、膝关节评分、膝关节活动度以及生活质量。结果 出院后第4周,观察组康复锻炼自我效能,康复锻炼依从性,膝关节评分,膝关节屈曲角度、伸展角度及生活质量评分显著高于对照组(均P<0.05)。结论 基于社会认知理论的反馈式教育可提高全膝关节置换术后患者的锻炼依从性及自我效能,促进膝关节功能恢复。Objective To compare the effects of teach-back based on Social Cognitive Theory(SCT)on the short-term recovery of patients following total knee arthroplasty(TKA).Methods One hundred unilateral TKA patients were randomly divided into two groups,with 50 patients in each group.The control group received standard intervention.The intervention group received a teach-back educational rehabilitation intervention designed based on SCT.Both interventions lasted for 4 weeks.We compared self-efficacy in rehabilitation exercise,compliance with rehabilitation exercise,knee joint scores,quality of life,and knee joint activity between the two groups before and at the fourth week after discharge.Results At the fourth week after discharge,the intervention group exhibited significantly higher self-efficacy,compliance with rehabilitation exercise,knee joint scores,Timed Up and Go test results,knee flexion and extension angles,and quality of life scores compared to the control group(all P<0.05).Conclusion The teach-back based on SCT can improve exercise compliance and self-efficacy in patients after TKA,and facilitate the recovery of knee joint function.

关 键 词：全膝关节置换术 反馈式教育 移动医疗 社会认知理论 自我效能 康复锻炼依从性 生活质量 康复护理 

分 类 号：R473.6[医药卫生—护理学]