基于跨理论模型的认知行为护理对老年股骨粗隆间骨折患者负性情绪、自我管理及预后的影响OA
Effect of cognitive behavioral nursing based on transtheoretical model on negative emotion,self-management and prognosis of elderly patients with femoral intertrochanteric fracture
目的 探究基于跨理论模型的认知行为护理对老年股骨粗隆间骨折患者负性情绪、自我管理及预后的影响.方法 选取2021年5月至2023年6月南昌市洪都中医院以股骨近端防旋髓内钉固定术治疗的108例老年股骨粗隆间骨折患者作为研究对象,按照随机数字表法分为常规护理组和认知护理组,每组各54例.常规护理组采取常规康复性锻炼干预,认知护理组在此基础上增加认知护理干预.比较两组患者预后指标、髋关节功能[Harris髋关节功能评分量表(HHS)]、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、护理满意度以及并发症发生率.结果 认知护理组肿胀消减时间及骨痂形成时间短于常规护理组,认知护理组患者护理满意度高于常规护理组,差异有统计学意义(P＜0.05);护理后,两组患者AHSMSRS、HHS评分均高于本组护理前,且认知护理组AHSMSRS、HHS评分均高于常规护理组,差异有统计学意义(P＜0.05);护理后,两组患者SDS、SAS评分均低于本组护理前,且认知护理组SDS、SAS评分均低于常规护理组,差异有统计学意义(P＜0.05);认知护理组并发症总发生率低于常规护理组,差异有统计学意义(P＜0.05).结论 基于跨理论模型的认知行为护理优于单纯常规护理,其可缩短老年股骨粗隆间骨折患者肿胀消减及骨痂形成时间,提高患者自我管理能力和髋关节功能,减少患者负性、焦虑情绪,降低患者并发症发生率.
Objective To explore the effect of cognitive behavioral nursing based on transtheoretical model on negative emo-tion,self-management and prognosis of elderly patients with femoral intertrochanteric fracture.Methods A total of 108 el-derly patients with femoral intertrochanteric fracture treated with proximal antirotation intramedullary nail fixation in Nan-chang Hongdu Hospital of TCM from May 2021 to June 2023 were selected as the study objects,and they were divided into conventional nursing group and cognitive nursing group according to random number table method,with 54 cases in each group.The conventional nursing group took routine rehabilitation exercise intervention,and the cognitive nursing group added cognitive nursing intervention on this basis.Prognostic indicators,hip function(Harris hip scale[HHS]),self-man-agement ability(adult health self-management skill rating scale[AHSMSRS]),negative emotion(self-rating depression scale[SDS],self-rating anxiety scale[SAS]),nursing satisfaction and complication rate were compared between the two groups.Results The swelling reduction time and callus formation time of cognitive nursing group were shorter than those of conven-tional nursing group,and the nursing satisfaction of cognitive nursing group was higher than that of conventional nursing group,the differences were statistically significant(P＜0.05).After nursing,AHSMSRS and HHS scores in two groups were higher than those before nursing,and AHSMSRS and HHS scores in cognitive nursing group were higher than those in con-ventional nursing group,the differences were statistically significant(P＜0.05).After nursing,SDS and SAS scores of two groups were lower than those before nursing,and SDS and SAS scores of cognitive nursing group were lower than conven-tional nursing group,the differences were statistically significant(P＜0.05).The total incidence of complications in cognitive nursing group was lower than that in conventional nursing group,and the difference was statistically significant(P＜0.05).Conclusion Cognitive behavioral nursing based on transtheoretical model is superior to conventional nursing alone,which can shorten the swelling reduction and the time of bony scus formation in elderly patients with inter trochanteric fracture,improve patients'self-management ability and hip function,reduce patients'negative and anxious emotions,and reduce the incidence of complications.
钟喜艳;万小萍
南昌市洪都中医院创伤一科,江西南昌 330008
临床医学
认知行为护理股骨粗隆间骨折负性情绪自我管理预后效果
Cognitive behavioral nursingFemoral intertrochanteric fractureNegative emotionSelf-managementPrognos-tic effect
《中国当代医药》 2024 (033)
140-144 / 5
江西省卫生健康委科技计划项目(20214385).
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