关节置换术后患者功能锻炼依从性状况及影响因素的调查

Investigation on compliance and its influential factors of postoperative functional exercise for patients with joints replacement

目的了解关节置换术后患者功能锻炼依从性状况，并分析影响其功能锻炼依从性的因素。方法使用自行设计的关节置换术后患者功能锻炼依从性调查问卷，对120例患者进行调查。结果关节置换术后患者功能锻炼依从性不佳，完全依从者仅占25％；依赖型人格、功能锻炼知识了解程度不高、康复重要性认同程度低、害怕疼痛、担心关节移位、体力不够、缺乏医务人员的指导等因素对患者功能锻炼依从性有影响（P〈0．05）。结论要从影响患者早期功能锻炼依从性的因素出发，采取针对性护理措施，最大限度地发挥置换关节的功能。

Objective To investigate the compliance of postoperative functional exercise for patients with joints replacement and analyze on its influential factors. Methods 120 patients with joints replacement were investigated with a self-compiled evaluation form of compliance of postoperative functional exercise and its influential factors. Results Compliance of postoperative functional exercise is not good, the total compliance rate is only 25%; the factors affecting the compliance included dependence, poor comprehension and identification of the importance to the functional exercise, pain, worrying about joints displacement, out of strength and insufficient instruction from the stuff （ P 〈 0. 05 ）. Conclusions Intervention based on the factors affecting the compliance could help to improve t he compliance of post-operative functional exercise in patients with joints replacement.