护理研究2026，Vol.40Issue(14)：2504-2509,6.DOI:10.12102/j.issn.1009-6493.2026.14.016
基于认知负荷理论的分阶段信息支持在老年骨科大手术病人围术期的应用
Application of staged information support based on cognitive load theory in the perioperative period of elderly patients undergoing major orthopedic surgery
摘要
Abstract
Objective:To explore the application effect of staged information support based on cognitive load theory in the perioperative period of elderly patients undergoing major orthopedic surgery.Methods:A total of 78 elderly patients undergoing major orthopedic surgery in Hebei Medical University Third Hospital were selected as the study subjects from August 2024 to May 2025.The 38 patients admitted from August to December 2024 were assigned to the control group,and the 40 patients admitted from January to May 2025 were assigned to the experimental group.The control group received routine nursing interventions,while the experimental group received staged information support based on cognitive load theory in addition to routine nursing interventions.The two groups were compared in terms of patients' cognition and perception of their own diseases,anxiety level,rehabilitation exercise self-efficacy,and readiness for hospital discharge.Results:The score of Brief Illness Perception Questionnaire and score of Geriatric Anxiety Inventory of the experimental group at discharge were lower than those before intervention and those in the control group at the same time period(all P<0.05).The score of Chinese version of the Self-Efficacy for Rehabilitation Scale in the experimental group on 1st day before discharge and score of Readiness for Hospital Discharge Scale on 7th day after surgery were higher than those on 3rd day after surgery and those in the control group at the same time period(all P<0.05).Conclusions:Staged information support based on cognitive load theory could reduce the incorrect cognition of the disease in elderly patients undergoing major orthopedic surgery,alleviate their anxiety,and improve their rehabilitation exercise self-efficacy and readiness for hospital discharge.关键词
认知负荷理论/分阶段信息支持/老年人/骨科/疾病感知/焦虑/自我效能/出院准备度/围术期护理Key words
cognitive load theory/staged information support/elderly/orthopedics/illness perception/anxiety/self-efficacy/readiness for hospital discharge/perioperative nursing引用本文复制引用
李艳娇,刘欢,李赛,杨路,张平,夏贺欢,田峥..基于认知负荷理论的分阶段信息支持在老年骨科大手术病人围术期的应用[J].护理研究,2026,40(14):2504-2509,6.基金项目
河北省医学科学研究重点课题计划项目,编号:20250081 （）
