基于保护动机理论干预模式对脊柱骨折患者术后恢复、自我效能及生活质量的影响

Effect of protection motivation theory intervention mode on postoperative recovery,self-efficacy,and quality of life of patients with spinal fractures

目的探讨保护动机理论(PMT)干预模式对脊柱骨折患者术后恢复、自我效能及生活质量的影响。方法选取2020年4月至2022年4月四川省甘孜藏族自治州人民医院收治的106例脊柱骨折患者,按照随机数字表法分为常规组和PMT组,每组53例。常规组采取常规干预,PMT组在常规干预的基础上采取PMT干预模式,干预2个月。比较两组术后恢复情况及干预前后的自我效能及生活质量。结果PMT组消肿时间、住院时间、骨折愈合时间短于常规组,差异有统计学意义(P<0.05)。干预后,两组运动效能、摄钙效能、骨质疏松症自我效能量表总分较干预前升高,且PMT组高于对照组,差异有统计学意义(P<0.05)。干预后,两组精力、躯体活动、社会生活、睡眠情感、诺丁汉健康调查问卷总分较干预前升高,且PMT组高于对照组,差异有统计学意义(P<0.05)。结论PMT干预模式可有效增强脊柱骨折患者的自我效能,促进健康行为,进而提高生活质量,促进术后恢复。

Objective To explore the effect of protection motivation theory(PMT)intervention mode on postoperative recovery,self-efficacy,and quality of life in patients with spinal fractures.Methods A total of 106 patients with spinal fractures admitted People’s Hospital of Ganzi Tibetan Autonomous Prefecture from April 2020 to April 2022 were selected.They were divided into conventional group and PMT group by random number table method,with 53 cases in each group.The conventional group received routine intervention,PMT group received PMT intervention mode on the basis of routine intervention for two months.The postoperative recovery and self-efficacy,quality of life before and after intervention were compared between two groups.Results The detumescence time,hospitalization time,and fracture healing time in PMT group were shorter than those in conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of exercise efficacy,calcium intake efficacy,and osteoporosis self-efficacy scale total score in two groups were increased than those before intervention,and PMT group was higher than control group,and the differences were statistically significant(P<0.05).After intervention,the scores of energy,physical activity,social life,sleep emotion and Nottingham health profile total score in two groups were higher than those before intervention,and PMT group was higher than control group,and the differences were statistically significant(P<0.05).Conclusion The PMT intervention mode can effectively enhance the self-efficacy,promote healthy behaviors,then improve the quality of life and promote postoperative recovery of patients with spinal fractures.