基于健康信念的康复训练在车祸伤致股骨颈骨折术后患者中的应用

基于健康信念的康复训练在车祸伤致股骨颈骨折术后患者中的应用1.四川大学华西医院康复医学中心  华西护理学院，四川成都   610001；
2.四川大学华西医院创伤医学中心  华西护理学院，四川成都   610001Application of health belief-based rehabilitation training in patients with femoral neck fracture after traffic accidentZHOU Xun1   HOU Xiaoling2▲1.College of Nursing, College of Nursing, Rehabilitation Medical Center, West China Hospital of Sichuan University, Sichuan Province, Chengdu   6100001, China; 
2.College of Nursing, Trauma Medicine Center, West China Hospital of Sichuan University, Sichuan Province, Chengdu   6100001, China
摘要图/表参考文献(32)相关文章(15) 摘要 目的 分析基于健康信念的康复训练在车祸伤致股骨颈骨折术后患者中的应用效果。 方法 本研究为前瞻性随机对照试验，纳入四川大学华西医院2021年9月至2022年5月行人工髋关节置换术治疗的100例股骨颈骨折患者。采用随机数字表法分为对照组（50例）和试验组（50例），给予对照组常规康复训练干预，给予试验组基于健康信念的康复训练干预，两组均干预4周。记录两组干预前后的Harris髋关节功能评分、康复护理日常生活活动（RNADL）评定量表评分及自我护理能力评估量表（ASAS-R-C）评分；比较两组护理依从性和并发症发生率。 结果 随访6个月，两组Harris髋关节功能评分、RNADL评分高于干预前，且试验组高于对照组，差异有统计学意义（P＜0.05）。干预4周，两组ASAS-R-C评分高于干预前，且试验组高于对照组，差异有统计学意义（P＜0.05）。出院时，试验组护理依从性高于对照组（P＜0.05）。两组并发症发生率比较，差异无统计学意义（P＞0.05）。结论 基于健康信念的康复训练可促进车祸伤致股骨颈骨折术后患者髋关节功能更快恢复，提高自护能力、日常生活活动能力及护理依从性。服务把本文推荐给朋友加入我的书架加入引用管理器 E-mail AlertRSS作者相关文章周寻1　　侯晓玲2▲关键词 ：股骨颈骨折, 车祸伤, 健康信念, 康复训练, 髋关节功能   Abstract：Objective To analyze the application effect of rehabilitation training based on health belief in patients with femoral neck fracture after traffic accident. Methods The study was a prospective randomized controlled trial involving 100 patients with femoral neck fracture who underwent artificial hip replacement at West China Hospital of Sichuan University from September 2021 to May 2022. Randomized number table method was used to divide the control group (50 cases) and the experimental group (50 cases). The control group was given routine rehabilitation training intervention, and the experimental group was given rehabilitation training intervention based on health belief. Both groups were interfered for four weeks. Harris hip function score, rehabilitation nursing activities of daily living (RNADL) rating scale and, self-care agency scale-revised(ASAS-R-C) scores were recorded before and after intervention. The nursing compliance and complication rate were compared between the two groups. Results After six months of follow-up, Harris hip function score, and RNADL score in both groups were higher than those before intervention, and those of the experimental group were higher than those of the control group, and the differences were statistically significant (P＜0.05). After four weeks of intervention, the ASAS-R-C scores of the two groups were higher than those before intervention, and those of the experimental group were higher than those of the control group, and the differences were statistically significant (P＜0.05). At discharge, the nursing compliance of the experimental group was higher than that of the control group (P＜0.05). There was no significant difference in the incidence of complications between the two groups (P＞0.05). Conclusion Rehabilitation training based on health belief can accelerate hip function recovery, improve self-care ability, activities of daily living ability, and nursing compliance of patients after femur neck fracture caused by car accident.
Key words：Femoral neck fracture  Traffic accident  Health belief  Rehabilitation training  Hip joint function     基金资助:四川省中医药管理局支撑项目（2021MS122）。
通讯作者:▲通讯作者   

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