基于跨理论模型的膝骨关节炎患者行为分层管理效果评价  

Evaluation of the effects of behavioral stratification management in patients with knee osteoarthritis based on trans-theoretical model

作　　者：张隽雅 周文娟[2] 胡梅园 王金明 罗雪芬 胡颖 Zhang Junya;Zhou Wenjuan;Hu Meiyuan;Wang Jinming;Luo Xuefen;Hu Ying(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430022,China;不详)

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院手术片区,湖北武汉430022

出　　处：《护理学杂志》2024年第19期25-30,共6页Journal of Nursing Science

基　　金：湖北省自然科学基金一般面上项目(2023AFB947)。

摘　　要：目的评价基于跨理论模型的膝骨关节炎患者行为分层管理的临床效果。方法采用便利抽样法纳入142例膝骨关节炎患者,通过随机数字表法分为对照组与干预组,各71例。对照组实施常规护理干预,干预组实施基于跨理论模型的膝骨关节炎患者行为分层管理。干预前及干预4周、12周、24周评价两组行为变化阶段、关节炎自我效能感和骨关节炎指数。结果干预组66例、对照组63例完成研究。干预12周后,两组行为变化阶段的分布比较,差异有统计学意义(P<0.05);干预4周后,两组关节炎自我效能感和骨关节炎指数得分比较,差异有统计学意义(均P<0.05),且时间效应、组间效应和交互效应显著(均P<0.05)。结论基于跨理论模型的行为分层管理能促进膝骨关节炎患者行为阶段的改变,提升自我效能感,改善关节功能。Objective To evaluate the clinical effects of behavioral stratification management in patients with knee osteoarthritis based on trans-theoretical model.Methods A total of 142 patients with knee osteoarthritis were enrolled by convenience sampling method and divided into a control group and an intervention group by random number table method,with 71 cases in each group.The control group received routine nursing intervention,and the intervention group received behavioral stratification management based on cross-theoretical model for knee osteoarthritis patients.Behavioral change stage,arthritis self-efficacy and osteoarthritis index were evaluated before the intervention and at 4,12 and 24 weeks of the intervention.Results A total of 66 cases in the intervention group and 63 cases in the control group completed the study.After 12 weeks of intervention,there was statistical significance in the distribution of behavioral changes between the two groups(P<0.05).After 4 weeks of intervention,there were statistically significant differences in arthritis self-efficacy and osteoarthritis index scores between the two groups(all P<0.05),and the time effect,intervention effect and interaction effect were significant(all P<0.05).Conclusion Behavioral stratification management based on trans-theoretical model can promote the change of behavior stage,enhance self-efficacy and improve joint function in patients with knee osteoarthritis.

关 键 词：膝骨关节炎 跨理论模型 行为分层管理 自我效能感 关节功能 骨科护理 

分 类 号：R473.6[医药卫生—护理学]