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健康信念模式在全髋关节置换术患者健康宣教中的应用研究

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目的:探讨健康信念模式在全髋关节置换术患者健康宣教中的应用效果。方法:选取本院 2020 年 5 月-2022 年 4月收治的60例全髋关节置换术患者为研究对象,按照随机数字表法将其分为对照组与观察组,各 30 例。对照组患者给予常规健康教育,观察组患者给予健康信念模式教育。比较 2 组患者干预 1 个月后的知信行水平、康复锻炼依从性、自我护理能力量表(ESCA)及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果:干预 1 个月后,观察组信念、知识、行为评分均高于对照组,组间差异有统计学意义(P<0。05);观察组康复训练依从性优于对照组,差异有统计学意义(P<0。05);观察组ESCA量表中健康知识水平、自我责任感、自我概念、自我护理技能评分均高于对照组,组间差异有统计学意义(P<0。05);观察组SAS、SDS评分分别为(38。22±3。53)分、(42。02±4。05)分,均低于对照组,组间差异有统计学意义(P<0。05)。结论:健康信念模式下的健康宣教可有效提高全髋关节置换术患者知信行水平,提高康复锻炼依从性,增强患者自我护理能力,减轻不良心理状态。
Application of Health Belief Model in Health Education of Patients with Total Hip Arthroplasty
Objective:To explore the effect of health belief model in health education of patients with total hip arthroplasty.Methods:60 patients with total hip arthroplasty admitted to our hospital from May 2020 to April 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was given routine health education,and the observation group was given health belief model education.The level of knowledge and behavior,compliance with rehabilitation exercise Self-Care Ability scale(ESCA),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)of the two groups were compared after 1 month of intervention.Results:After 1 month of intervention,the belief,knowledge and behavior levels of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05);the compliance of rehabilitation training in the observation group was better than that in the control group,the difference was statistically significant(P<0.05);the scores of health knowledge level,self-responsibility,self-concept and self-care skills in the ESCA scale of the observation group were higher than those of the control group,with statistical significance(P<0.05);the scores of SAS and SDS in the observation group were(38.22±3.53)points and(42.02±4.05)points,respectively,which were significantly lower than those in the control group,with statistical significance(P<0.05).Conclusion:Health education under the health belief model can effectively improve the knowledge and practice level of patients with total hip replacement,improve the compliance of rehabilitation exercise,enhance the self-nursing ability of patients,and reduce the adverse psychological state.

Total hip replacementHealth educationHealth belief modelCompliance

易倩婷、毛团员、雷瑛

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上高县中医院办公室,江西 宜春 336400

全髋关节置换术 健康宣教 健康信念模式 依从性

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(6)