摘要
Abstract
Objective:To explore the application effect of functional exercise health education based on information-motivation-behavioral skill model(IMB)in elderly patients with total hip replacement surgery.Method:A total of 120 elderly patients with total hip replacement surgery admitted to the First People's Hospital of Hefei from January 2019 to January 2022 were selected.They were randomly divided into observation group(n=60)and control group(n=60).The control group was given routine nursing,and the observation group was given functional exercise health education based on IMB on the basis of control group.Self-efficacy,quality of life,hip joint function before and after nursing,time and incidence of venous thrombosis in lower limbs were compared between the two groups.Result:After nursing,the self-efficacy scores of both groups were higher than those before nursing,and the self-efficacy scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of pain,joint deformity,joint activity,daily activity and total scores of both groups were higher than those before nursing,and the scores of pain,joint deformity,joint activity,daily activity and total scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The occurrence time of deep vein thrombosis in the observation group was longer than that in the control group,and the incidence of deep vein thrombosis in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of general health status,living ability,role physical,emotional function,physical pain,physiological function,mental health and social function of the two groups were higher than before nursing,and the scores of general health status,living ability,role physical,emotional function,physical pain,physiological function,mental health and social function of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Functional exercise health education based on IMB can effectively improve hip joint function in elderly patients with total hip arthroplasty,reduce the incidence of lower limb venous thrombosis,and improve self-efficacy and quality of life.关键词
全髋关节置换术/健康教育/功能锻炼/静脉血栓Key words
Total hip replacement/Health education/Functional exercise/Venous thrombosis
