摘要
目的探讨自我效能干预对下肢骨折患者术后锻炼依从性及负性情绪的影响。方法将无锡市第九人民医院收治的128例下肢骨折患者按照随机数字表法分为观察组及对照组各64例,两组围手术期均给予常规护理,观察组在此基础上进行自我效能干预,评估两组患者术后锻炼依从性、满意度、负性情绪、自我效能及自护能力。结果观察组患者锻炼依从性、患者满意度、自护能力及自我效能评分均显著高于对照组,而静脉血栓发生率、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均显著低于对照组,差异有统计学意义(P<0.05)。结论自我效能干预能有效提高下肢骨折患者术后锻炼依从性、自护能力及自我效能,改善患者负性情绪,提高患者满意度。
Objective To investigate the effect of self-efficacy intervention on postoperative exercise adherence and negative emotions in patients with lower extremity fractures. Methods One hundred and twenty-eight patients with lower extremity fractures were randomly divided into control observation groups ,64 in each group. The control group was treated with perioperative routine care and the observation group was treated with self-efficacy intervention. The exercise compliance, negative emotion, self-efficacy and self-care capacity were compared between the two groups. Results The exercise compliance, patient satisfaction, self-care ability and self-efficacy scores in the observation group were significantly higher than that in the control groups（P 〈 0.05 ） while the incidence of venous thrombosis,the Hamilton Anxiety Scale（HAMA） and Hamilton Depression Rating Scale （HAMD）score were significantly lower than that in the control group（ P 〈 0. 05 ）. Conclusion The self-efficacy intervention can improve the postoperative exercise compliance, the self- care ability, the self-efficacy and the negative emotions in patients with lower extremity fractures. Thus, it improves the patient satisfaction.
出处
《实用医院临床杂志》
2016年第1期84-86,共3页
Practical Journal of Clinical Medicine
关键词
自我效能
下肢骨折
术后锻炼
负性情绪
Self-efficacy
Lower extremity fractures
Postoperative exercise
Negative emotion
