Department of Joint and Hand Surgery, The First People's Hospital of Huaihua (Jishou University of the Fourth Affiliated Hospital), Huaihua, Hunan, China 418000.
Operation Room, The First People's Hospital of Huaihua (Jishou University of the Fourth Affiliated Hospital), Huaihua, Hunan, China 418000.
Comput Math Methods Med. 2022 Jul 13;2022:1621210. doi: 10.1155/2022/1621210. eCollection 2022.
To assess the impact on nursing care based on the theory of health behavior change integration in patients with limb fracture and its effect on limb function and self-efficacy.
The starting and ending time of this study is from February 2021 to February 2022. In this study, 116 hospitalized patients with limb fracture were selected as the object of study. According to the method of random number table, the patients were divided into study group and control group. The patients of the study cohort were given nursing healthcare based on the theory of health behavior change integration, while those in the control cohort were given common nursing. The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), Frankl compliance scale, self-efficacy scale (GSES), activity of daily living scale (ADL), and Fugl-Meyer limb motor function assessment (FMA) were studied before and 3 months after nursing.
After 3 months of nursing, the SAS and SDS scores of the study group were lower than those of the control group, and the difference between groups was statistically significant ( < 0.05). After 3 months of nursing, the scores of Frankl scale, GSES, ADL scale, and FMA scale in the study group were higher than those in the control group, and the difference between groups was statistically significant ( < 0.05).
The value of nursing interventions based on the integration of health behavior change theory is even more significant in patients with limb fractures. It is more helpful in reducing patients' anxiety and depression, increasing compliance and improving limb function. Self-efficacy and daily living skills were also significantly improved.
评估基于健康行为改变整合理论对肢体骨折患者护理的影响及其对肢体功能和自我效能的影响。
本研究的起止时间为 2021 年 2 月至 2022 年 2 月。本研究选择 116 例住院肢体骨折患者为研究对象。根据随机数字表法将患者分为研究组和对照组。研究组患者给予基于健康行为改变整合理论的护理保健，对照组患者给予常规护理。在护理前和护理 3 个月后，分别对两组患者的焦虑自评量表（SAS）、抑郁自评量表（SDS）、弗兰克尔适应量表、一般自我效能感量表（GSES）、日常生活活动量表（ADL）和 Fugl-Meyer 肢体运动功能评估（FMA）评分进行研究。
护理 3 个月后，研究组的 SAS 和 SDS 评分低于对照组，组间差异有统计学意义（ < 0.05）。护理 3 个月后，研究组的弗兰克尔量表、GSES、ADL 量表和 FMA 量表评分均高于对照组，组间差异有统计学意义（ < 0.05）。
基于健康行为改变整合理论的护理干预在肢体骨折患者中的价值更为显著。它更有助于减轻患者的焦虑和抑郁，提高依从性，改善肢体功能。自我效能感和日常生活技能也有显著提高。
