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可视化健康教育对人工膝关节置换术患者康复自我效能及康复训练行为的影响
郭影1      黄彦红1      李莉1      汪牛2      李府3
1.安徽省淮北市人民医院手术室,安徽淮北   235000;
2.安徽省淮北市人民医院骨科一,安徽淮北   235000;
3.安徽省淮北市人民医院骨科二,安徽淮北   235000
Effects of visual health education on rehabilitation self-efficacy and rehabilitation training behavior in patients after total knee arthroplasty
GUO Ying1   HUANG Yanhong1   LI Li1   WANG Niu2   LI Fu3
1.Department of Operating Room, Huaibei People’s Hospital, Anhui Province, Huaibei   235000, China; 
2.Department of the First Orthopedics, Huaibei People’s Hospital, Anhui Province, Huaibei   235000, China; 
3.Department of the Second Orthopedics, Huaibei People’s Hospital, Anhui Province, Huaibei   235000, China
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摘要 目的 探讨可视化健康教育对人工膝关节置换术(TKA)患者康复自我效能及康复训练行为的影响。 方法 选择2017年1月至2019年12月安徽省淮北市人民医院收治的TKA患者145例,根据入院时间将其分为对照组(2017年1月至2018年6月)71例,观察组(2018年7月至2019年12)74例。对照组给予常规健康教育,观察组联合可视化健康教育。随访6个月,比较两组康复自我效能、康复训练行为、功能独立性。 结果 随访6个月,对照组脱落4例,观察组脱落3例。两组自我效能评分明显高于同组干预前,差异有统计学意义(P < 0.05),观察组锻炼自我效能、应对自我效能、康复自我效能量表总分明显高于对照组,差异有统计学意义(P < 0.05),两组康复训练行为评分均高于同组干预前,差异有统计学意义(P < 0.05),观察组康复训练动作准确性、锻炼强度评分明显高于对照组,康复训练时间明显长于对照组,差异有统计学意义(P < 0.05);两组功能独立性评分明显高于同组干预前,差异有统计学意义(P < 0.05),观察组自理能力、括约肌控制、转移、行走评分明显高于对照组,差异有统计学意义(P < 0.05)。 结论 可视化健康教育有助于促进TKA患者康复训练自我效能感的养成,规范康复训练行为,改善患者功能独立性。
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郭影1 黄彦红1 李莉1 汪牛2 李府3
关键词 人工膝关节置换术可视化健康教育康复自我效能康复训练行为    
Abstract:Objective To investigate the effects of visual health education on rehabilitation self-efficacy and rehabilitation training behavior in patients with total knee arthroplasty (TKA). Methods A total of 145 patients undergoing TKA admitted to Huaibei People’s Hospital from January 2017 to December 2019 were selected and they were divided into control group ( January 2017 to June 2018) 71 cases and observation group (July 2018 to December 2019) 74 cases according to the time of admission. The control group was given regular health education, and the observation group was combined with visual health education. Follow up for six months, the rehabilitation self-efficacy, rehabilitation training behavior, and functional independence of the two groups were compared. Results After six months of follow-up, there were four cases of abscission in the control group and three cases in the observation group. The self-efficacy scores of the two groups were significantly higher than those of the same group before intervention, and the difference was statistically significant (P < 0.05). The exercise self-efficacy, coping self-efficacy, and rehabilitation self-efficacy scale total scores of the observation group were significantly higher than those of the control group, the differences were statistically significant (P < 0.05), the rehabilitation training behavior scores of the two groups were higher than those of the same group before the intervention, and the differences were statistically significant (P < 0.05). The observation group’s rehabilitation training action accuracy and exercise intensity scores were significant higher than the control group, the rehabilitation training time was significantly longer than the control group, the differences were statistically significant (P < 0.05); the functional independence score of the two groups was significantly higher than the same group before the intervention, the difference was statistically significant (P < 0.05), the scores of self-care ability, sphincter control, transfer, and walking of the observation group were significantly higher than those of the control group, and the difference were statistically significant (P < 0.05). Conclusion Visual health education can promote the development of self-efficacy in rehabilitation training for patients after TKA, standardize rehabilitation behavior, improve patient functional independence.
Key wordsTotal knee arthroplasty    Visual health education    Rehabilitation self-efficacy    Rehabilitation training behavior
    
基金资助:国家自然科学基金资助项目(31670956)。
引用本文:   
郭影1 黄彦红1 李莉1 汪牛2 李府3. 可视化健康教育对人工膝关节置换术患者康复自我效能及康复训练行为的影响[J]. 中国医药导报, 2021, 18(20): 148-151.
GUO Ying1 HUANG Yanhong1 LI Li1 WANG Niu2 LI Fu3. Effects of visual health education on rehabilitation self-efficacy and rehabilitation training behavior in patients after total knee arthroplasty. 中国医药导报, 2021, 18(20): 148-151.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I20/148

 

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