年龄对四肢骨折患者自我效能感的影响

Effect of age on self-efficacy of patients with limbs fracture

目的探讨年龄对四肢骨折患者自我效能感的影响,采取有效的干预措施,改善骨折患者的预后。方法选取2017年1月至2019年4月诊治的四肢骨折患者210例,根据年龄分为A组(<20岁组)、B组(20~30岁组)、C组(31~40岁组)、D组(41~50岁组)、E组(51~60岁组)和F组(>60岁组)各35例,分别采用一般自我效能感量表(GSES)和视觉模拟法评估自我效能感,分析年龄对四肢骨折患者自我效能感的影响。结果A组与B组GSES及视觉模拟法测评结果差异均无统计学意义(P>0.05),A、B组GSES分值很低者及视觉模拟法分值较低者占比低于C、D、E、F组,GSES分值很高者及视觉模拟法分值较高者占比高于C、D、E、F组,C、D、E、F组GSES分值很低者及视觉模拟法分值较低者占比依次增加,GSES分值很高者、视觉模拟法分值较高者占比依次减少,且两两比较差异均有统计学意义(χ^2值为10.09~50.86,均P<0.05)。结论不同年龄四肢骨折患者自我效能感存在显著差异,随着年龄增加,患者自我效能感有下降趋势,提示临床应注意加强对高龄患者自我效能感的干预。

Objective To explore the effect of age on self-efficacy of patients with limbs fracture,effective intervention measures should be taken to improve the prognosis of fracture patients.Methods A total of 210 patients with limbs fracture from January 2017 to April 2019 were selected as research object,and they were divided into group A(<20 years old group)35 cases,group B(20 to 30 years old group)35 cases,group C(31 to 40 years old group)35 cases,group D(41 to 50 years old group)35 cases,group E(51 to 60 years old group)35 cases and group F(>60 years old group)35 cases according to the differences of ages.Then the General Self-Efficacy Scale(GSES)and visual simulation were used to evaluate self-efficacy in six groups,and the evaluation results were compared to analyze the influence of age on treatment efficacy in patients with limb fracture.Results There was no significant difference in GSES scale and self-efficacy between group A and group B(P>0.05).The proportion of low score and low self-efficacy score of group A and group B was significantly lower than that of group C,D,E and F,the proportion of high score of GSES scale and high score of self-efficacy was significantly higher than that of group C,D,E and F,the proportion of those with low GSES scores and low self-efficacy scores in group C,D,E and F increased in turn,while those with high GSES scores and high self-efficacy scores decreased in turn,and the difference between the two groups was significant(χ^2 value was 10.09-50.86,all P<0.05).Conclusions The treatment efficacy of patients with limbs fracture in different ages have obvious differences,and the treatment efficacy of patients should be paid more intervention with the age increasing.Therapeutic efficacy of elderly patients is gradually decreasing,clinical intervention should be paid attention to the treatment efficacy of elderly patients.