摘要
目的:探究三维适性支持护理对老年髋关节置换术患者恐动程度、早期康复锻炼自我效能及功能恢复的影响。方法:本研究采用非同期对照试验方法。选取2021年6月—2023年6月于武汉中西医结合骨科医院住院的96例老年髋关节置换术患者为研究对象,将2021年6月—2022年5月收治的48例患者作为对照组,2022年6月—2023年6月收治的48例患者作为干预组。对照组接受常规护理,干预组在此基础上接受三维适性支持护理。对比两组恐动症评估简表(TSK-11)、Berg平衡量表(BBS)、广泛性焦虑障碍量表(GAD-7)、Harris髋关节评分(HHS)、康复自我效能感量表(SER)评分及并发症发生情况。结果:术后4周,干预组TSK-11、GAD-7评分低于对照组,BBS评分、HHS、SER评分高于对照组(P<0.05);干预组并发症发生率低于对照组(P<0.05)。结论:三维适性支持护理能够有效改善老年髋关节置换术患者的恐动程度,提高早期康复锻炼自我效能,并促进患者功能恢复,同时降低并发症发生率。
Objective:To explore the effects of three-dimensional adaptive support nursing on the degree of kinesiophobia,self-efficacy of early rehabilitation exercise,and functional recovery of elderly patients undergoing hip replacement.Method:This study adopted a non-concurrent controlled trial method.Ninety-six elderly patients who underwent hip replacement and hospitalized in Wuhan Integrated Chinese and Western Orthopedic Hospital from June 2021 to June 2023 were selected as the study subjects.Among them,48 patients admitted from June 2021 to May 2022 were taken as the control group and 48 patients admitted from June 2022 to June 2023 were taken as the intervention group.The control group received routine nursing,and the intervention group received three-dimensional adaptive support nursing on this basis.The Tampa scale for kinesiophobia-11(TSK-11),Berg balance scale(BBS),generalized anxiety disorder(GAD-7),Harris hip score(HHS),self-efficacy for rehabilitation scale(SER),and the occurrence of complications were compared between the two groups.Result:Four weeks after operation,the scores of TSK-11 and GAD-7 in the intervention group were lower than those in the control group,and the BBS score,HHS and SER score were higher than those in the control group(P<0.05).The incidence of complications in the intervention group was lower than that in the control group(P<0.05).Conclusion:Three-dimensional adaptive support nursing can effectively improve the degree of kinesiophobia in elderly patients undergoing hip replacement,enhance the self-efficacy of early rehabilitation exercise,promote the functional recovery of patients,and reduce the incidence of complications.
作者
童婷
张琦
叶圆芬
陈红
TONG Ting;ZHANG Qi;YE Yuanfen;CHEN Hong(Department of Orthopedics and Sports Medicine,Wuhan Integrated Chinese and Western Orthopedic Hospital,Wuhan 430070,China;不详)
出处
《中国医学创新》
2025年第23期77-81,共5页
Medical Innovation of China
基金
湖北省卫生健康委科研项目(WJ2019M167)。
关键词
髋关节置换术
老年患者
三维适性支持护理
恐动症
康复锻炼
自我效能
功能恢复
Hip replacement
Elderly patients
Three-dimensional adaptive support nursing
Kinesiophobia
Rehabilitation exercise
Self-efficacy
Functional recover
作者简介
通信作者:张琦。
