行为目标达成度理念在膝骨性关节炎术后护理中的应用效果  

The application effect of the concept of achievement of behavioral goals in postoperative nursing of knee osteoarthritis

作　　者：童婷 张琦 叶圆芬 TONG Ting;ZHANG Qi;YE Yuanfen(Wuhan Integrated Chinese and Western Orthopedic Hospital,Wuhan 430070,China)

机构地区：[1]武汉中西结合骨科医院,湖北武汉430070

出　　处：《临床医药实践》2025年第4期305-308,共4页Proceeding of Clinical Medicine

摘　　要：目的:探讨行为目标达成度理念在膝骨性关节炎(KOA)术后护理中的应用效果。方法:选择2023年4月—2024年5月在武汉中西医结合骨科医院接受KOA手术的患者126例,按照随机数表法分为对照组(常规随访干预)和观察组(常规干预基础上联合行为目标达成度理念干预),每组63例,均干预90 d。比较两组干预后运动依从性量表评分及干预前后关节炎自我效能感量表(ASES)、美国特种外科医院膝关节评分(HSS)、视觉模拟评分法(VAS)评分,观察术后并发症发生情况。结果:干预后,观察组运动依从性量表评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组ASES,HSS和VAS评分比较,差异无统计学意义(P>0.05)。干预后,ASES和HSS评分均提高,且观察组高于对照组;而两组患者VAS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:行为目标达成度理念的干预对KOA手术患者院外功能锻炼依从性、自我效能均有改善,且能促进膝关节功能恢复,疼痛缓解感更好,未增加并发症,有助于对KOA手术患者的康复。Objective:To explore the application effect of the concept of achieving behavioral goals in postoperative nursing of knee osteoarthritis(KOA).Methods:All 126 patients who underwent KOA surgery at wuhan integrated traditional chinese and western medicine orthopedic hospital from April 2023 to May 2024 were selected as the study sample.The patients were randomly divided into control group(conventional follow-up intervention)and observation group(based on conventional intervention combined with behavioral goal achievement concept intervention),using a random number table method,with each group receiving 90 days of intervention.The scores of exercise compliance scale after intervention,arthritis self-efficacy scale(ASES),knee joint score(HSS)and visual analogue scale(VAS)before and after intervention were compared between the two groups.The occurrence of postoperative complications were observed.Results:After the intervention,the score of exercise compliance scale in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of ASES,HSS and VAS between the two groups(P>0.05).After intervention,both ASES and HSS scores were improved,and the observation group was higher than the control group.However,the VAS scores of both groups decreased,and the observation group was lower than the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The intervention based on the concept of achieving behavioral goals can improve the compliance and self-efficacy of KOA surgery patients with out of hospital functional exercise,promote knee joint function recovery,and provide better pain relief without an increase in complications,which is helpful for the rehabilitation of KOA surgery patients.

关 键 词：膝骨性关节炎 行为目标达成度 理念 

分 类 号：R684.3[医药卫生—骨科学]