基于自我效能理论的康复护理方案对颈椎骨折伴脊髓损伤患者出院准备度的影响  

Effects of a rehabilitation care programme based on selfefficacy theory on discharge readiness of patients with cervical spine fracture with spinal cord injury

作　　者：高小霞[1] 李玖利[1] 潘佩婵[1] 郑碧珠 任丹青 王义沙 Gao Xiaoxia;Li Jiuli;Pan Peichan;Zheng Bizhu;Ren Danqing;Wang Yisha(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong 528401,China)

机构地区：[1]广东省中山市中医院,广东中山528401

出　　处：《首都食品与医药》2024年第13期138-140,共3页Capital Food Medicine

基　　金：广东省医学科学技术研究基金项目(项目编号:B2022045)。

摘　　要：目的研究基于自我效能理论的干预方案对颈椎骨折伴脊髓损伤患者出院准备度的影响。方法选择2020年1月-2023年10月在广东省中山市中医院接受治疗的颈椎骨折伴脊髓损伤患者100位,随机分为观察组和对照组,每组50例。对照组患者接受常规康复护理,观察组患者在此基础上,采取基于自我效能理论的干预方案。于干预前后,采用自我效能量表评估患者的自我效能感水平、脊髓独立性评定量表Ⅲ评价患者生活自理能力以及出院准备度量表(RRDS)评价患者出院准备度。对比两组干预前后的自我效能评分、脊髓独立性评分以及出院准备度评分。结果干预前,两组患者的自我效能评分、脊髓独立性评分以及RRDS评分差异无统计学意义(P>0.05)。采取干预措施后,两组患者自我效能评分、脊髓独立性评分以及RRDS评分均显著提高(P<0.05),而且观察组患者的提升幅度明显优于对照组,差异具有统计学意义(P<0.05)。结论基于自我效能理论的康复护理干预方案可以显著提升颈椎骨折伴脊髓损伤患者的出院准备度,具有一定的临床应用价值。Objective To study the effect of an intervention programme based on self-efficacy theory on the readiness for discharge of patients with cervical spine fracture with spinal cord injury.Methods 100 patients with cervical spine fracture with spinal cord injury who were treated in our hospital from January 2020 to October 2023 were selected and randomly divided into observation group and control group,50 cases in each group.The patients in the control group received conventional rehabilitation care,and the patients in the observation group adopted an intervention programme based on self-efficacy theory on this basis.Before and after the intervention,the self-efficacy scale was used to assess the self-efficacy level of the patients,the Spinal Cord Independence Scale III to evaluate the selfcare ability of the patients,and the Readiness for Discharge Scale(RRDS)to evaluate the readiness of the patients for discharge.The selfefficacy scores,spinal cord independence scores,and discharge readiness scores of the two groups were compared before and after the intervention.Results Before the intervention,there was no statistically significant difference between the self-efficacy scores,spinal cord independence scores,and RRDS scores of the two groups(P>0.05).After the intervention,the self-efficacy scores,spinal cord independence scores,and RRDS scores of the two groups improved significantly(P<0.05),and the improvement of the observation group was significantly better than that of the control group,with statistically significant differences(P<0.05).Conclusion The rehabilitation nursing intervention programme based on self-efficacy theory can significantly improve the discharge readiness of patients with cervical fracture with spinal cord injury,which has considerable clinical application value.

关 键 词：自我效能理论 颈患骨折 颈患病骨折出院准备度 康复护理 

分 类 号：R473.6[医药卫生—护理学]