基于跨理论模型的运动干预在老年膝骨关节炎患者中的应用效果  

Application Effect of Exercise Intervention Based on Transtheoretical Model in Elderly Patients with Knee Osteoarthritis

作　　者：颜迪 Yan Di(Orthopedic Department,Qihe County People's Hospital,Dezhou 251100,Shandong Province,China)

机构地区：[1]齐河县人民医院骨一科,山东德州251100

出　　处：《中国社区医师》2025年第8期114-116,共3页Chinese Community Doctors

摘　　要：目的:分析基于跨理论模型的运动干预在老年膝骨关节炎(KOA)患者中的应用效果。方法:选取齐河县人民医院2021年7月—2023年5月收治的80例老年KOA患者作为研究对象,采用随机数字表法分为对照组和观察组,每组40例。对照组实施常规护理干预,观察组在对照组基础上实施基于跨理论模型的运动干预。对比两组干预效果。结果:干预后,两组运动自我效能、感知益处、感知障碍评分均升高,且观察组高于对照组(P<0.05);干预后,两组疼痛评分降低,且观察组低于对照组(P<0.05);两组生活质量评分升高,且观察组高于对照组(P<0.05)。观察组护理总满意度高于对照组(P=0.048)。结论:基于跨理论模型的运动干预在老年KOA患者中的应用效果较好,能减轻患者疼痛,改善患者的运动自我效能与感知情况,提高其生活质量和护理满意度。Objective:To analyze the application effect of exercise intervention based on transtheoretical model in elderly patients with knee osteoarthritis(KOA).Methods:A total of 80 elderly patients with KOA admitted to Qihe County People's Hospital from July 2021 to May 2023 were selected as the study subjects.They were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received exercise intervention based on transtheoretical model on the basis of the control group.The effect of intervention was compared between the two groups.Results:After intervention,the scores of exercise self-efficacy,perceived benefit and perceived impairment in two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).After intervention,the pain scores in two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).The quality of life scores in two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).The total satisfaction with nursing in the observation group was higher than that in the control group(P=0.048).Conclusion:The application effect of exercise intervention based on transtheoretical model in elderly patients with KOA is good,which can relieve patients'pain,improve patients'exercise self-efficacy and perception,and enhance their quality of life and nursing satisfaction.

关 键 词：跨理论模型 运动干预 老年 膝骨关节炎 运动自我效能 

分 类 号：R473.6[医药卫生—护理学]