摘要
目的:探讨健康信念教育联合早期功能锻炼对中老年膝关节置换术患者的影响.方法:选取该院2021年6月-2022年12月收治的78例中老年膝关节置换术患者为研究对象,按随机数字表法将其分为对照组与观察组,各39例.对照组采用常规护理,观察组在对照组基础上采用健康信念教育联合早期功能锻炼.比较2组健康知识、应对方式、膝关节功能、平衡功能、血液流变指标、并发症发生情况.结果:干预1、2个月后,观察组健康知识、积极应对方式评分均高于对照组,消极应对方式评分低于对照组,组间差异有统计学意义(P<0.05).观察组膝关节功能、平衡功能评分均高于对照组,组间差异有统计学意义(P<0.05).观察组血液流变的各个维度指标均低于对照组,组间差异有统计学意义(P<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论:中老年膝关节置换术患者采用健康信念教育联合早期功能锻炼,可提高患者健康知识掌握度,使其积极面对疾病和康复训练,改善膝关节功能及平衡功能,降低并发症发生率,具有应用价值.
Objective:To explore the effect of health belief education combined with early functional exercise on middle-aged and elderly patients undergoing knee replacement.Methods:78 middle-aged and elderly patients with knee replacement from June 2021 to December 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 39 cases in each group.The control group received routine nursing,the observation group received health belief education combined with early functional exercise on the basis of the control group.Health knowledge,coping style,knee joint function,balance function,hemorheology index and complications were compared between the two groups.Results:After 1 and 2 months of intervention,the scores of health knowledge and active coping style in the observation group were higher than those in the control group,and the scores of negative coping style were lower than those in the control group,with statistical significance(P<0.05).The knee joint function and balance function scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).All dimension indexes of hemorheology in the observation group were lower than those in the control group,and the difference between groups was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Health belief education combined with early functional exercise for middle-aged and elderly patients with knee replacement can improve their health knowledge,make them actively face disease and rehabilitation training,improve knee function and balance function,and reduce the incidence of complications,which has application value.
作者
王进
WANG Jin(Department of joint surgery,Tianjin hospital,Tianjin 300211)
出处
《中国伤残医学》
2024年第4期45-48,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
中老年膝关节置换术
健康信念教育
早期功能锻炼
Middle-aged and elderly knee replacement
Health beliefs
Early functional exercise
