自我效能理论在促进老年患者术后早期下床中的应用研究

Application of self-efficacy theory in promoting early ambulation of elderly patients after abdominal surgery

目的探讨自我效能理论在促进老年患者腹部外科术后早期下床的应用效果。方法应用自我效能理论,将直接经验、替代经验、言语劝说、生理和心理反应4个信息源优化组合,从认知、动机和情感3个方面对50例腹部术后的老年患者进行干预,以促进其早期下床活动。结果 50例患者首次下床活动时间为(17.3±6.8)h;首次下床活动距离为(16.7±3.4)m;术后24h内下床活动的老年患者有45例(90%)。结论自我效能理论融入术后指导能有效促进腹部外科术后老年患者早期下床活动。

Objective To evaluate the effect of self-efficacy theory on promoting early ambulation of elderly patients after abdominal surgery. Methods The self-efficacy theory was applied to promoting early ambulation in the aspects of cognition,motivation and emotion among 50 elderly patients after abdominal surgery by optimizing direct experience,vicarious experience,verbal persuasion,physiologic and psychological reactions. Results After intervention,the time and the distance of first ambulation was（17.3±6.8） hours and（16.7±3.4） meters. Forty-five（90%） patients ambulated within 24h after surgery. Conclusion The application of self-efficacy theory can promote early ambulation of elderly patients after abdominal surgery.