Wu Kuan-Ting, Lee Pei-Shan, Chou Wen-Yi, Chen Shu-Hua, Huang Yee-Tzu
Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, No.123, Dapi Rd., Niaosong Dist., Kaohsiung city, 833, Taiwan, Republic of China.
Department of Orthopedics Operation Room, Kaohsiung Chang Gung Memorial Hospital, No.123, Dapi Rd., Niaosong Dist., Kaohsiung city, 833, Taiwan, Republic of China.
J Orthop Surg Res. 2018 Jun 18;13(1):150. doi: 10.1186/s13018-018-0857-3.
The World Health Organization (WHO) reported that nearly 25% of people will suffer from physical disability owing to the bone and joint problems until 2050. The condition of patients with this type of difficulty could be improved by increasing positive self-efficacy and instigating suitable medical treatment to implement self-efficacy for functional ability (SEFA) and physical functional ability self-care. In this study, we aim to evaluate the influence of social support on SEFA in patients after total hip arthroplasty.
This cross-sectional study used structural questionnaires, telephone appointments, and data collection to obtain patient characteristics, such as gender, age, educational level, and marital status. Questionnaires about social support and self-efficacy for functional ability (SEFA) were sent to 200 patients at 3 months following a primary total hip replacement from September 2011 to December 2014. Factor analysis was used to categorize the dimensions of social support; the t test, analysis of variance (ANOVA), and correlation analysis were applied to screen factors influencing SEFA. Multiple regression analysis was employed to ascertain the relationships between patient characteristics, social support, and SEFA.
In total, 134 patients responded to the questionnaires. Lower SEFA scores were observed in patients of an older age, unmarried patients, and those with a low level of education. Correlation analysis showed that emotional information and appraisal support, instrumental support, and SEFA were positively correlated. Multiple regression analysis was applied to ascertain the relationships between patient characteristics, social support, and SEFA. We identified significant coefficient values of - 0.187 for age, 5.344 for emotional information and appraisal support, and 1.653 for instrumental support.
The results of this study demonstrated that in patients undergoing primary hip replacement, positive impacts on SEFA were observed in relation to emotional information, appraisal support and instrumental support. The results indicated that enhancing emotional information and appraisal support could improve a patient's self-efficacy for functional ability.
世界卫生组织（WHO）报告称，到2050年，近25%的人将因骨骼和关节问题而出现身体残疾。通过提高积极的自我效能感并采取适当的医学治疗来实现功能能力自我效能感（SEFA）和身体功能能力自我护理，这类患者的状况可以得到改善。在本研究中，我们旨在评估社会支持对全髋关节置换术后患者SEFA的影响。
这项横断面研究使用结构化问卷、电话预约和数据收集来获取患者特征，如性别、年龄、教育水平和婚姻状况。在2011年9月至2014年12月进行初次全髋关节置换术后3个月，向200名患者发送了关于社会支持和功能能力自我效能感（SEFA）的问卷。采用因子分析对社会支持维度进行分类；应用t检验、方差分析（ANOVA）和相关分析来筛选影响SEFA的因素。采用多元回归分析来确定患者特征、社会支持和SEFA之间的关系。
共有134名患者回复了问卷。年龄较大的患者、未婚患者和教育水平较低的患者的SEFA得分较低。相关分析表明，情感信息与评价支持、工具性支持和SEFA呈正相关。应用多元回归分析来确定患者特征、社会支持和SEFA之间的关系。我们确定年龄的显著系数值为 -0.187，情感信息与评价支持的显著系数值为5.344，工具性支持的显著系数值为1.653。
本研究结果表明，在接受初次髋关节置换的患者中，情感信息、评价支持和工具性支持对SEFA有积极影响。结果表明，增强情感信息和评价支持可以提高患者的功能能力自我效能感。
