全髋关节置换术后病人康复训练中自我效能感影响因素的研究

Research on influence factors of self-efficacy in rehabilitation training of patients with total hip replacement

[目的]了解全髋关节置换病人自我效能感水平,探讨其自我效能感的影响因素。[方法]运用方便抽样法,采用一般情况问卷、社会支持评定量表和一般自我效能感问卷对某中部城市三级甲等医院住院治疗的91例全髋关节置换病人进行问卷调查。[结果]全髋关节置换病人自我效能感平均水平较低,病人的医疗保险情况(F=4.439,P<0.05)、文化程度(r=0.412,P<0.05)和社会支持水平(r=0.219,P<0.05)与其自我效能感相关。[结论]在全髋关节置换病人进行康复训练时应重视病人自我效能感,根据病人不同情况制定护理措施,以帮助提升病人的自我效能感、增强康复训练的自信心。

Objective：To understand the self-efficacy level of patients with total hip replacement,and to investigate the factors affecting their self-efficacy.Methods：91patients with total hip replacement from a GradeⅢA hospital in a city of central China were chosen using convenient sampling method,whose data was collected by general situation questionnaire,Social Support Rating Scale and general self-efficacy questionnaire.Results：The average self-efficacy level of patients with total hip replacement was low.Patients＇ self-efficacy was related with health insurance status（F=4.439,P〈0.05）,education level（r=0.412,P〈0.05）and social support（r=0.219,P〈0.05）.Conclusion：Medical staff should pay more attention on self-efficacy of patients with total hip replacement,and should take measures individually to help patients improve their self-efficacy,which would increase patients＇ confidence in rehabilitation training.