文章摘要

基于跨理论模型的护理干预在髋关节置换术后患者康复训练中的应用

作者: 1潘玉芳, 1郑明霞, 2韦燕芬
1 佛山市南海区第四人民医院供应室,广东 佛山 528000
2 佛山市南海区第四人民医院骨科,广东 佛山 528000
通讯: 潘玉芳 Email: panyufang12@126.com
DOI: 10.3978/j.issn.2095-6959.2018.05.023
基金: 2017年佛山市自筹经费类科技计划项目(佛科[2017]125号)。

摘要

目的:探讨基于跨理论模型构建的护理干预方案对髋关节置换术后患者的应用价值。方法:将111例患者按入院时间分为对照组和观察组,其中2015年1至6月纳入的55名患者设为对照组,采用常规健康教育及护理干预,2016年1至6月纳入的56名患者设为观察组,采用基于跨理论模型构建的护理干预方案进行干预,在干预前及干预1,3,6个月后应用康复锻炼依从性调查表、Harris髋关节功能评估量表和独立功能得分评估表(functional independence measure,FIM)对患者进行评估。结果:观察组在干预1,3,6个月后的康复训练依从性得分、髋关节功能得分及独立运动功能得分均明显优于对照组,且两组的组间效应、时间效应及二者的交互效应均具有统计学意义(P<0.01)。结论:基于跨理论模型构建的护理干预方案能有效提升患者的康复训练依从性,改善康复锻炼效果。
关键词: 髋关节置换术;跨理论模型;康复;依从性

Application of nursing intervention based on cross theoretical model in rehabilitation training of patients after total hip replacement

Authors: 1PAN Yufang, 1ZHENG Mingxia, 2WEI Yanfen
1 Supply Room, Fourth People’s Hospital of Foshan Nanhai District, Foshan Guangzhou 528000, China
2 Department of Orthopedics, Fourth People’s Hospital of Foshan Nanhai District, Foshan Guangzhou 528000, China

CorrespondingAuthor: PAN Yufang Email: panyufang12@126.com

DOI: 10.3978/j.issn.2095-6959.2018.05.023

Foundation: This work was supported by 2017 Foshan Self-financing Science and Technology Plan Project (Foke [2017] No. 125), China.

Abstract

Objective: To explore the application value of nursing intervention program based on cross theoretical model in patients after total hip replacement. Methods: Totally 111 patients after total hip replacement were divided into a control group and an observation group by the patient’s admission time. Fifty-five patients from January 2015 to June 2015 were selected as control group, and routine health education and nursing intervention were adopted. Fifty-six patients from January 2016 to June 2016 were selected as the observation group, the nursing intervention program based on the cross theoretical model was adopted to intervene. The rehabilitation exercise compliance questionnaire, the Harris hip function assessment scale and the functional independence measure (FIM) were used to evaluate the patients before intervention and 1 months, 3 months and 6 months after the intervention. Results: The rehabilitation training compliance score, hip joint function score and independent motor function scores of the observation group after 1, 3 and 6 months were significantly better than the control group. The group effects, time effects and the interaction effects between the two groups were statistically significant (P<0.01). Conclusion: The nursing intervention program based on the cross theoretical model can effectively improve the rehabilitation training compliance of patients after total hip replacement, and improve the rehabilitation exercise effect.
Keywords: total hip replacement; cross theoretical model; rehabilitation; compliance

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