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基于健康行为改变整合理论的护理干预对下肢骨折患者肢体功能及自我效能感的影响研究
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Abstract:
目的：基于下肢骨折患者健康行为改变整合理论，评价对护理的影响及其对肢体功能和自我效能感的影响。方法：选取2020年1月至2023年9月于新疆医科大学第六附属医院创伤骨一科，因下肢骨折住院的96例下肢骨折患者作为研究对象。按随机数表法将患者分为研究组和对照组。研究队列的患者根据健康行为改变整合理论接受护理，而对照组患者接受普通护理。研究护理前和护理后3个月的焦虑自评量表(SAS)、抑郁自评量表(SDS)、Frankl依从性量表、自我效能量表(GSES)、日常生活活动量表(ADL)和Fugl-Meyer肢体运动功能评估(FMA)的评分。结果：护理3个月后，研究组的SAS和SDS评分低于对照组，组间差异有统计学意义(P < 0.05)；护理3个月后，研究组Frankl量表、GSES、ADL量表、FMA量表评分高于对照组，组间差异有统计学意义(P < 0.05)。结论：基于健康行为改变理论整合的护理干预的价值在肢体骨折患者中更为显着。它更有助于减轻患者的焦虑和抑郁，提高依从性和改善肢体功能，日常生活技能也得到显着改善。
Objective: Based on the integration theory of health behavior change in patients with lower limb fractures, the impact on care and its effect on limb function and self-efficacy were evaluated. Methods: Ninety-six patients with lower limb fractures hospitalized in Department of Orthopedic Trauma (I), The Sixth Clinical Medical College, Xinjiang Medical University from January 2020 to September 2023 were selected as the study subjects. Patients were divided into study and control groups according to random number table. Patients in the study cohort received care according to the health behavior change integration theory, while patients in the control group received general care. The Anxiety Self-Rating Scale (SAS), Depression Self-Rating Scale (SDS), Frankl Adherence Scale, Self-Efficacy Scale (GSES), Activities of JOL, Daily Living (ADL), and Fugl-Meyer (FMA) before and 3 months after care were studied. Results: After 3 months of nursing, the SAS and SDS scores of the study group were lower than the control group, and the difference was statistically significant (P < 0.05); after 3 months of nursing, the Frankl, GSS, ADL, and FMA scale were higher than the control group, and the difference was statistically significant (P < 0.05). Conclusion: The value of nursing interventions based on health behavior change theory is more significant in patients with limb fractures. It is more helpful to reduce their anxiety and depression, improve compliance and improve limb function, and significantly improve their daily life skills.
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