摘要
【目的】探究日记法联合自我效能管理模式对膝关节置换术患者膝关节活动度、一般自我效能感量表(general self-efficacy scale,GSES)评分及锻炼依从性的影响。【方法】选取2017年2月至2019年12月我院收治的膝关节置换术患者73例,采用随机数字表法分为观察组与对照组,对照组采用自我效能管理模式干预,观察组采用日记法联合自我效能管理模式干预,对比2组膝关节活动度、膝关节功能、GSES评分及锻炼依从性。【结果】观察组平均住院时间18.32 d短于对照组21.75 d,差异有统计学意义(P<0.05);术后1个月与术后3个月,观察组患者膝关节活动度与膝关节功能评分(hospital for special surgery,HSS)均高于对照组,差异有统计学意义(P<0.05);术后1个月与术后3个月,观察组GSES评分均高于对照组,差异有统计学意义(P<0.05);观察组完成要求的时间、锻炼要求的动作、锻炼要求的部位、主动性的依从性均高于对照组(P<0.05)。【结论】日记法联合自我效能管理模式可提高膝关节置换术患者自我效能感与锻炼依从性,促进膝关节功能恢复。
【Objective】To explore the effects of diary method combined with self-efficacy management mode on knee joint activity,general self-efficacy scale(GSES)score and exercise compliance of patients undergoing knee replacement.【Methods】A total of 73 patients with knee arthroplasty admitted to our hospital from February 2017 to December 2019 were randomly divided into two groups:the observation group and the control group,the control group was intervened by self-efficacy management mode,while the observation group was intervened by diary method combined with self-efficacy management mode,and the knee mobility,knee function,GSES score and exercise compliance were compared between the two groups【Results】The average hospital stay in the observation group 18.32 d was shorter than the expected 21.75 d,the difference was statistically significant(P<0.05).At 1 month after operation and 3 months after operation,the knee joint activity and HSS score in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05);the GSES score of the observation group was higher than that of the control group at 1 month and 3 months after operation,the difference was statistically significant(P<0.05);and the cases of completing the required time,completing the required exercise action,completing the required exercise area and active compliance in the observation group were higher than those in the control group(P<0.05)【Conclusion】The combination of diary method and self-efficacy man-agement mode can improve the self-efficacy and exercise compliance of patients with knee arthroplasty,and promote the recovery of knee joint function.
作者
车侠
赵曙光
张璇
周瑞娟
李洪
CHE Xia;ZHAO Shu-guang;ZHANG Xuan;ZHOU Rui-juan;LI Hong(The Orthopaedic Trauma,Taihe Country People's Hospital,Fuyang 236600,China)
出处
《武警后勤学院学报（医学版）》
CAS
2020年第4期32-35,共4页
Journal of Logistics University of PAP（Medical Sciences）
