髋关节置换术后患者不同阶段院外功能锻炼依从性及健康信念的动态变化及其相关性

Dynamic Changes and Correlation of Functional Exercise Compliance and Health Belief in Different Stages after Hip Arthroplasty

目的:研究髋关节里换术后患者不同阶段院外功能锻炼依从性及健康信念的动态变化及其相关性。方法:选择我院2018年6月-2020年2月纳入的105例髋关节置换术后患者作为观察对象,收集并整理其完整信息,评价其不同阶段的院外功能锻炼依从性以及健康信念变化,同时分析两者之间的关系。结果:术后1个月的肢体锻炼(80.33±4.19)分、锻炼监测(84.30±2.60)分、主动寻求建议(78.14±3.50)分、总依从性评分(83.56±2.01)分,高出术后3个月(74.12±3.25)分、(77.29±2.11)分、(72.30±2.58)分、(76.44±1.64)分以及6个月(69.55±3.01)分、(70.45±1.83)分、(67.59±2.21)分、(73.51±1.30)分(F=248.050,1037.480,369.840,999.420,P=0.001,0.001,0.001,0.001)。术后1个月的健康信念(76.59±5.23)分、感到控制力(70.31±4.92)分、实施能力(72.55±4.56)分、威胁(75.12±3.59)分、资源利用评分(78.10±4.18)分,高出术后3个月(72.36±5.04)分、(67.24±4.51)分、(68.30±4.21)分、(71.03±3.03)分、(72.36±3.76)分以及6个月(66.45±4.47)分、(62.33±4.01)分、(60.28±3.98)分、(65.22±2.68)分、(66.50±3.51)分(F=112.340,84.180,224.970,266.520,241.220,P=0.001,0.001,0.001,0.001,0.001)。经Peareon相关性分析计算,发现功能锻炼依从性与健康信念存在正相关性(r=0.259,0.420,0.315,0.248,0.326,0.311,0.235,0.289,0.305,0.403,0.154,0.178,0.105,0.121,0.215,0.278,0.336,0.338,0.264,0.148,P=0.003,0.002,0.001,0.005,0.004,0.001,0.OO1,0.003,0.009,0.002,0.012,0.010,0.008,0.014,0.014,0.007,0.005,0.005.0.006.0.005)。结论:髋关节置换术后患者不同阶段的院外功能锻炼依从性、健康信念呈减低趋势,且两者之间的关系密切,其健康信念水平越高,患者进行功能锻炼的依从性越好,应受到临床重点关注,提供针对性干预,改善患者健康信念,进而提升其配合功能锻炼的依从性,为早日康复提供前提保障。

Objective:To study the dynamic changes and correlation of functional exercise compliance and health belief in different stages after hip arthroplasty.Methods:105 cases of patients after hip arthroplasty in our hospital from June 2018 to February 2020 were selected as the observation objects,and the complete information was collected and sorted out,the compliance of functional exercise and the change of health belief in different stages were evaluated,and the relationship between them was analyzed.Results:The scores of physical exercise(80.33±4.19),exercise monitoring(84.30±2.60),initiative seeking advice(78.14±3.50)and total compliance score(83.56±2.01)one month after operation were significantly higher than those after three months(74.12±3.25),(77.29±2.11),(72.30±2.58),(76.44±1.64)and six months(69.55±3.01),(70.45±1.83)and(67.59±2.21)respectively and(73.51±1.30)(F=248.050,1037.480,369.840,999.420,P=0.001,0.001,0.001,0.001).The scores of health belief(76.59±5.23),sense of control(70.31±4.92)implementation ability(72.55±4.56),threat(75.12±3.59)and resource utilization score(78.10±4.18)one month after operation were higher than those of three months after operation(72.36±5.04),(67.24±4.51),(68.30±4.21),(71.03±3.03),(72.36±3.76),andsixmonthsafteroperation(66.45±4.47)(62.33±4.01),(60.28±3.98),(65.22±2.68),(66.50±3.51)respectively(F=112.340,84.180,224.970,266.520,241.220,P=0.001,0.001,0.001,0.001,0.001).Pearson correlation analysis showed that there was a positive correlation between functional exercise compliance and health belief(r=0.259,0.420,0.315,0.248,0.326,0.311,0.235,0.289,0.305,0.403,0.154,0.178,0.105,0.121,0.215,0.278,0.336,0.338,0.264,0.148,P=0.003,0.002,0.001,0.005,0.004,0.001,0.001,0.003,0.009,0.002,0.012,0.010,0.008,0.014,0.014,0.007,0.005,0.005.0.006,0.005).Conclusion:The higher the level of health belief,the better the compliance of patients with functional exercise.Therefore,we should pay more attention to the clinical practice,provide targeted intervention to improve the patients health belief,and then enhance their compliance with functional exercise Rehabilitation provides premise guarantee.