基于实景体验的健康教育在老年股骨颈骨折患者康复护理中的应用  

Application of health education based on real-life experience in rehabilitation nursing of elderly patients with femoral neck fractures

作　　者：宋志明[1] 张卫红[2] 海贝贝[1] Song Zhiming;Zhang Weihong;Hai Beibei(Department of Rehabilitation Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院康复医学科,郑州450052 [2]郑州大学第一附属医院骨科,郑州450052

出　　处：《中华现代护理杂志》2024年第18期2452-2456,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于实景体验的健康教育在老年股骨颈骨折患者康复护理中的应用效果。方法采用便利抽样法,选取2022年8月—2023年6月郑州大学第一附属医院收治的116例老年股骨颈骨折患者为研究对象,采用随机数字表法将患者分为对照组和观察组,各58例。对照组患者应用常规健康教育,观察组在对照组基础上应用基于实景体验的健康教育。比较两组患者干预前后股骨颈骨折知信行情况、自我护理能力及肢体功能情况以及两组患者的治疗依从性。结果干预后,两组患者股骨颈骨折认知、态度及行为水平得分均比干预前升高,且观察组各维度得分均高于对照组,差异有统计学意义(P<0.05);干预后,两组患者自我护理能力量表及Harris髋关节功能得分均提高,且观察组患者得分均高于对照组,差异有统计学意义(P<0.05);观察组患者功能训练认知得分、功能训练依从性得分及出院复诊依从性得分均高于对照组,差异有统计学意义(P<0.05)。结论基于实景体验的健康教育能有效提高老年股骨颈骨折患者疾病知信行水平、自我护理能力及治疗依从性,可有效促进患者肢体功能恢复,值得临床应用。Objective To analyze the application effect of health education based on real-life experience in the rehabilitation nursing of elderly patients with femoral neck fractures.Methods Using the convenient sampling method,a total of 116 elderly patients with femoral neck fractures admitted to the First Affiliated Hospital of Zhengzhou University from August 2022 to June 2023 were selected as the research objects.The patients were divided into the control group and the observation group using the random number table method,with 58 cases in each group.Patients in the control group received routine health education,while patients in the observation group received health education based on real-life experiences in addition to the control group.The knowledge,attitude and practice of femoral neck fractures,self-care ability and limb function of the two groups before and after intervention,as well as the treatment compliance of the two groups were compared.Results After intervention,the score of knowledge,attitude and practice level of femoral neck fractures in two groups were higher than those before intervention,and the scores of all dimensions in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,scores of Exercise of Self-Care Agency(ESCA)and Harris hip joint function of patients in both groups were improved and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The cognitive score of functional training,compliance score of functional training and compliance score of discharge follow-up in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Health education based on real-life experiences can effectively improve the knowledge,attitude and practice level,self-care ability and treatment compliance of elderly patients with femoral neck fractures.It can effectively

关 键 词：老年人 股骨颈骨折 实景体验 健康教育 康复护理 

分 类 号：R473.6[医药卫生—护理学]