10.13214/j.cnki.cjotadm.2021.12.007
髋关节置换术后患者不同阶段院外功能锻炼依从性及健康信念的动态变化及其相关性
目的:研究髋关节置换术后患者不同阶段院外功能锻炼依从性及健康信念的动态变化及其相关性.方法:选择我院2018年6月-2020年2月纳入的105例髋关节置换术后患者作为观察对象,收集并整理其完整信息,评价其不同阶段的院外功能锻炼依从性以及健康信念变化,同时分析两者之间的关系.结果:术后1个月的肢体锻炼(80.33±4.19)分、锻炼监测(84.30±2.60)分、主动寻求建议(78.14±3.50)分、总依从性评分(83.56±2.01)分,高出术后3个月(74.12±3.25)分、(77.29±2.11)分、(72.30±2.58)分、(76.44±1.64)分以及6个月(69.55±3.01)分、(70.45±1.83)分、(67.59±2.21)分、(73.51±1.30)分(F=248.050,1037.480,369.840,999.420,P=0.001,0.001,0.001,0.001).术后1个月的健康信念(76.59±5.23)分、感到控制力(70.31±4.92)分、实施能力(72.55±4.56)分、威胁(75.12±3.59)分、资源利用评分(78.10±4.18)分,高出术后3个月(72.36±5.04)分、(67.24±4.51)分、(68.30±4.21)分、(71.03±3.03)分、(72.36±3.76)分以及6个月(66.45±4.47)分、(62.33±4.01)分、(60.28±3.98)分、(65.22±2.68)分、(66.50±3.51)分(F=112.340,84.180,224.970,266.520,241.220,P=0.001,0.001,0.001,0.001,0.001).经Pearson相关性分析计算,发现功能锻炼依从性与健康信念存在正相关性(r=0.259,0.420,0.315,0.248,0.326,0.311,0.235,0.289,0.305,0.403,0.154,0.178,0.105,0.121,0.215,0.278,0.336,0.338,0.264,0.148,P=0.003,0.002,0.001,0.005,0.004,0.001,0.001,0.003,0.009,0.002,0.012,0.010,0.008,0.014,0.014,0.007,0.005,0.005,0.006,0.005).结论:髋关节置换术后患者不同阶段的院外功能锻炼依从性、健康信念呈减低趋势,且两者之间的关系密切,其健康信念水平越高,患者进行功能锻炼的依从性越好,应受到临床重点关注,提供针对性干预,改善患者健康信念,进而提升其配合功能锻炼的依从性,为早日康复提供前提保障.
功能锻炼、髋关节置换术、健康信念、依从性、相关性
29
R681.6(骨科学（运动系疾病、矫形外科学）)
2021-07-15（万方平台首次上网日期，不代表论文的发表时间）
共4页
17-20
