Application effect of intervention strategies of motivational behavior guidance model in patients after artificial knee joint replacement
Objective To explore the application effect of intervention strategies of motivational behavior guidance model in patients after artificial knee joint replacement.Methods In this prospective study,100 patients who received artificial knee joint replacement in Zheng zhou Orthopaedic Hospital from January 2020 to December 2022 were selected as the research objects,and were divided into an intervention group and a control group by the random number table method,with 50 cases in each group.In the intervention group,there were 29 males and 21 females,aged(62.05±3.47)years.In the control group,there were 27 males and 23 females,aged(61.89± 3.52)years.The patients in the control group received routine postoperative care,and on the basis the patients in the intervention group received postoperative intervention strategies of artificial knee joint replacement based on motivational behavior guidance.Both groups were intervened until discharge.The changes of Hospital for Special Surgery(HSS)score,range of knee joint motion,and self-efficacy assessed by General Self-Efficacy Scale(GSES)before intervention and 3 months after intervention were compared between the two groups,and the incidences of postoperative complications during intervention and follow-up and patients'satisfaction with nursing were compared between the two groups.t test,x2 test,and rank sum test were used.Results After 3 months of intervention,the HSS scores,ranges of knee joint motion,and GSES scores in both groups were higher than those before intervention,and those in the intervention group were higher than those in the control group[(68.26±6.22)min vs.(64.32±5.98)min,(88.25±10.39)°vs.(83.31± 11.66)°,(32.89±2.16)min vs.(31.54±2.35)min],with statistically significant differences(t=3.229,2.237,and 2.991;all P＜0.05).During follow-up,the incidence of postoperative complications in the intervention group was lower than that in the control group[4.0％(2/50)vs.16.0％(8/50)],with a statistically significant difference(x2=4.000,P=0.046).The nursing satisfaction of the intervention group was higher than that of the control group at discharge[94.0％(47/50)vs.80.0％(40/50)],with a statistically significant difference(x2=4.332,P=0.037).Conclusion Postoperative intervention strategies of artificial knee joint replacement constructed under the guidance of motivational behavior can effectively promote the recovery of patients'knee joint function,improve the range of knee joint motion,reduce the incidence of postoperative complications,enhance the patients'self-efficacy,and improve the patients'satisfaction with nursing work.
万方数据
维普
