基于Pender健康促进模式的干预方案在全膝关节置换病人康复中的应用  

Application of intervention program based on Pender's health promotion model in rehabilitation of total knee arthroplasty patients

作　　者：张雯越 董建俐[1] 卫彦汝 伊静[1] 张宇涵 ZHANG Wenyue;DONG Jianli;WEI Yanru;YI Jing;ZHANG Yuhan(The Second Hospital of Dalian Medical University,Liaoning 116023 China;Nursing College of Shanxi Medical University)

机构地区：[1]大连医科大学附属第二医院,辽宁116023 [2]山西医科大学护理学院

出　　处：《护理研究》2025年第4期578-584,共7页Chinese Nursing Research

摘　　要：目的:构建基于Pender健康促进模式的干预方案,探讨其在全膝关节置换病人居家康复中的应用效果。方法:采用便利抽样法,选取2023年1月—3月大连市某三级甲等医院关节与运动医学科行全膝关节置换的35例病人为对照组,2023年4月—6月行全膝关节置换的36例病人为干预组。对照组行常规护理,干预组于对照组基础上实施基于Pender健康促进模式的护理干预,比较干预前后两组全膝关节置换病人居家康复训练依从性、膝关节损伤与骨关节炎评分、康复自我效能感及恐动症评分。结果:干预后4周及12周干预组病人居家康复训练依从性、膝关节损伤与骨关节炎评分以及康复自我效能感得分均高于对照组,恐动症评分低于对照组,差异均有统计学意义(P<0.05)。结论:基于Pender健康促进模式干预方案能增强全膝关节置换术后病人康复自我效能感,降低恐动症发生率,提高病人居家康复训练依从性,促进膝关节康复。Objective:To construct an intervention program based on Pender's health promotion model,and to explore the effect of its application in home rehabilitation of total knee replacement patients.Methods:A total of 35 patients who underwent total knee arthroplasty from January to March 2023 in the department of joint and sports medicine of a tertiary grade A hospital in Dalian city were selected as the control group,and 36 patients who underwent total knee arthroplasty from April to June 2023 were selected as the intervention group by convenience sampling method.The control group patients received routine nursing.The intervention group patients received nursing intervention based on Pender's health promotion model on the basis of the control group.The compliance of home rehabilitation training,Knee Injury and Osteoarthritis Outcome Score,Self-Efficacy for Rehabilitation Outcome Scale and Tampa Scale of Kinesiophobia scores of the two groups were compared before and after the intervention.Results:Four weeks and 12 weeks after intervention,the compliance of home rehabilitation training,the score of knee injury and osteoarthritis and the score of rehabilitation self-efficacy in the intervention group patients were higher than those in the control group patients,and the score of kinesiophobia was lower than that in the control group patients(all P<0.05).Conclusions:The intervention program based on Pender's health promotion model could enhance the rehabilitation self-efficacy of patients after total knee replacement,reduce the incidence of kinesophobia,improve patients'compliance with home rehabilitation training,and promote knee rehabilitation.

关 键 词：全膝关节置换术 Pender健康促进模式 康复训练 依从性 自我效能 恐动症 

分 类 号：R473.6[医药卫生—护理学]