首页|基于时效激励理论的早期康复训练对老年髋关节置换术患者康复效果及锻炼依从性的影响

基于时效激励理论的早期康复训练对老年髋关节置换术患者康复效果及锻炼依从性的影响

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目的 探讨基于时效激励理论的早期康复训练对老年髋关节置换术(HA)患者康复效果及锻炼依从性的影响.方法 选取信阳市中心医院2020年4月至2023年5月收治的128例老年HA患者,随机分为常规组和时效激励组,各64例.常规组接受常规护理,时效激励组在常规护理基础上接受基于时效激励理论的早期康复训练.比较两组术后恢复进程、髋关节功能(Harris评分)、康复锻炼依从性、健康行为、自护能力、知识知晓率、护理满意度及并发症发生情况.结果 时效激励组切口愈合、下床活动及出院时间均短于常规组(P<0.05);干预后,时效激励组Harris评分高于常规组(P<0.05);时效激励组康复锻炼依从性优于常规组(P<0.05);干预后,时效激励组健康促进生活方式量表Ⅱ(HPLP Ⅱ)、自我护理能力测定量表(ESCA)评分均高于常规组(P<0.05);时效激励组知识知晓率、满意度均高于常规组(P<0.05);时效激励组并发症发生率低于常规组(P<0.05).结论 基于时效激励理论的早期康复训练能提升HA患者的疾病知识知晓率及康复锻炼依从性,有利于促使患者产生健康行为、提高自护能力,改善患者的髋关节功能,进而加快患者康复进程,还可进一步提高护理满意度.
Influence of Early Rehabilitation Training Based on Time-Effect Incentive Theory on Rehabilitation Effect and Exercise Compliance of Elderly Patients with Hip Arthroplasty
Objective To exploring the influence of early rehabilitation training based on time-effect incentive theory on rehabilitation effect and exercise compliance of elderly patients with hip arthroplasty(HA).Methods A total of 128 elderly HA patients admitted to Xinyang Central Hospital from April 2020 to May 2023 were collected and randomly divided into conventional group and time-effect incentive group,64 cases in each group.The conventional group was given routine nursing,and the time-effect incentive group was given early postoperative rehabilitation training based on time-effect incentive theory.The postoperative recovery process,hip joint function(Harris score),rehabilitation exercise compliance,health behavior,self-care ability,knowledge awareness rate,nursing complaint rate,satisfaction rate and complications were compared between the two groups.Results The incision healing,bed mobility,and discharge time in the time-effect incentive group were shorter than those in the conventional group(P<0.05).The compliance of rehabilitation exercise in the time-effect incentive group was better than that in the conventional group(P<0.05).After intervention,the Harris score in the time-effect incentive group was higher than that in the conventional group(P<0.05).After intervention,the health promoting lifestyle profile Ⅱ(HPLP Ⅱ)and the exercise of self-care agency scale(ESCA)scores in the time-effect incentive group were higher than those in the conventional group(P<0.05).The knowledge awareness rate and satisfaction rate of the time-effect incentive group were higher than those of the conventional group(P<0.05).The incidence of complications in the time-effect incentive group was lower than that in the conventional group(P<0.05).Conclusion Early rehabilitation training based on 5 time-effect incentive theory can improve the disease knowledge awareness rate and rehabilitation exercise compliance of HA patients,promote healthy behavior,improve self-care ability,improve hip joint function,accelerate the patient's rehabilitation process,and further improve nursing satisfaction.

hip replacementtime-effect incentive theoryhip joint functionrehabilitation processcompliance with rehabilitation exercises

林艳、杨利强、沈霞

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信阳市中心医院手术室,河南信阳 464000

髋关节置换术 时效激励理论 早期康复训练 髋关节功能 康复进程 康复锻炼依从性

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(8)
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