IMB技巧模型下延续护理对髋部骨折患者运动恐惧水平、髋关节功能恢复的影响  

Impact of continuing care under the IMB skill model on fear of movement and hip joint function recovery in patients with hip fractures

作　　者：刘佳 张明 孙银侠 郝许许 郗春梅 马瑜 马乐 Liu Jia;Zhang Ming;Sun Yinxia;Hao Xuxu;Xi Chunmei;Ma Yu;Ma Le(Orthopedics Department,People's Hospital of Tongchuan,Tongchuan 727031,China;Endoscopy Center,People's Hospital of Tongchuan,Tongchuan 727031,China;Nursing Depatment,People's Hospital of Tongchuan,Tongchuan 727031,China;Venous Allocation Center,People's Hospital of Tongchuan,Tongchuan 727031,China)

机构地区：[1]铜川市人民医院骨科,铜川727031 [2]铜川市人民医院腔镜中心,铜川727031 [3]铜川市人民医院护理部,铜川727031 [4]铜川市人民医院静脉配置中心,铜川727031

出　　处：《国际护理学杂志》2025年第6期965-970,共6页international journal of nursing

基　　金：铜川市护理学会科技计划项目(20231b02)。

摘　　要：目的探讨IMB技巧模型下延续护理对髋部骨折患者运动恐惧水平和髋关节功能恢复的影响。方法纳入2021年11月至2023年11月铜川市人民医院收治的98例髋部骨折患者,采用摸球法分组,奇数为对照组(n=49),偶数为观察组(n=49),对照组予以常规护理,观察组予以IMB技巧模型下延续护理,比较两组干预前后的运动恐惧水平[恐动症评估量表(TSK)]、步行能力[Holden步行能力分级量表(FAC)]、髋关节功能[Harris髋关节功能量表]、自护能力[自我护理能力测定量表(ESCA)]、并发症发生情况。结果干预后,观察组TSK评分较对照组低,FAC评分较对照组高;观察组Harris中疼痛、功能、行走、关节活动度等维度得分较对照组高;观察组ESCA中各维度得分均较对照组高;观察组并发症发生率为6.12%,较对照组(20.41%)低,以上对比差异均有统计学意义(P<0.05)。结论IMB技巧模型下的延续护理可以显著降低髋部骨折患者的运动恐惧水平,改善其髋关节功能、步行能力和自护能力,同时降低并发症的发生率,促进患者的整体恢复。ObjectiveTo explore the effects of continuing care under the Information-Motivation-Behavioral(IMB)skill model on the fear of movement levels and hip joint function recovery in patients with hip fractures.MethodsA total of 98 patients with hip fracture admitted to Tongchuan People's Hospital from November 2021 to November 2023 were enrolled.They were grouped by touch ball method.The odd number was the control group,while the even number was the observation group,with 49 cases in each group.The control group received routine care,while the observation group received continuing care under the IMB skill model.Exercise fear level(Tampa Scale for Kinesiophobia,TSK),walking ability(Holden's Functional Ambulation Categories,FAC),hip function(Harris Hip Score),self-care ability(Exercise of Self-Care Agency,ESCA)and complications were compared between the two groups before and after the intervention.ResultsAfter intervention,the TSK score of the observation group was lower than that of the control group,and the FAC score was higher than that of the control group.The scores of pain,function,walking and range of motion of Harris in the observation group were higher than those in the control group.The scores of all dimensions in ESCA of the observation group were higher than those of the control group.The incidence of complications in the observation group was 6.12%,which was lower than that in the control group(20.41%).And the differences were statistically significant(P<0.05).ConclusionsContinuing care under the IMB skill model can significantly reduce the level of fear of movement,improve hip joint function,walking ability and self-care ability,and reduce the incidence of complications,thus promoting the overall recovery of patients with hip fractures.

关 键 词：IMB技巧模型下延续护理 髋部骨折 运动恐惧水平 髋关节功能 自护能力 

分 类 号：R473.6[医药卫生—护理学]