基于健康信念的康復(fù)訓(xùn)練在車禍傷致股骨頸骨折術(shù)后患者中的應(yīng)用1.四川大學華西醫(yī)院康復(fù)醫(yī)學中心  華西護理學院，四川成都   610001；
2.四川大學華西醫(yī)院創(chuàng)傷醫(yī)學中心  華西護理學院，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
摘要圖/表參考文獻(32)相關(guān)文章(15) 摘要 目的 分析基于健康信念的康復(fù)訓(xùn)練在車禍傷致股骨頸骨折術(shù)后患者中的應(yīng)用效果。 方法 本研究為前瞻性隨機對照試驗，納入四川大學華西醫(yī)院2021年9月至2022年5月行人工髖關(guān)節(jié)置換術(shù)治療的100例股骨頸骨折患者。采用隨機數(shù)字表法分為對照組（50例）和試驗組（50例），給予對照組常規(guī)康復(fù)訓(xùn)練干預(yù)，給予試驗組基于健康信念的康復(fù)訓(xùn)練干預(yù)，兩組均干預(yù)4周。記錄兩組干預(yù)前后的Harris髖關(guān)節(jié)功能評分、康復(fù)護理日常生活活動（RNADL）評定量表評分及自我護理能力評估量表（ASAS-R-C）評分；比較兩組護理依從性和并發(fā)癥發(fā)生率。 結(jié)果 隨訪6個月，兩組Harris髖關(guān)節(jié)功能評分、RNADL評分高于干預(yù)前，且試驗組高于對照組，差異有統(tǒng)計學意義（P＜0.05）。干預(yù)4周，兩組ASAS-R-C評分高于干預(yù)前，且試驗組高于對照組，差異有統(tǒng)計學意義（P＜0.05）。出院時，試驗組護理依從性高于對照組（P＜0.05）。兩組并發(fā)癥發(fā)生率比較，差異無統(tǒng)計學意義（P＞0.05）。結(jié)論 基于健康信念的康復(fù)訓(xùn)練可促進車禍傷致股骨頸骨折術(shù)后患者髖關(guān)節(jié)功能更快恢復(fù)，提高自護能力、日常生活活動能力及護理依從性。服務(wù)把本文推薦給朋友加入我的書架加入引用管理器 E-mail AlertRSS作者相關(guān)文章周尋1　　侯曉玲2▲關(guān)鍵詞 ：股骨頸骨折, 車禍傷, 健康信念, 康復(fù)訓(xùn)練, 髖關(guān)節(jié)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     基金資助:四川省中醫(yī)藥管理局支撐項目（2021MS122）。
通訊作者:▲通訊作者   

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