人工髋关节置换术患者个人掌控感现状及其影响因素分析

Current status of personal control perception and its influencing factors in patients undergoing total hip arthroplasty

目的调查人工髋关节置换术患者掌控感现状及分析其影响因素。方法采用一般资料调查问卷、康复锻炼自我效能、健康信念、社会支持、髋关节功能及个人掌控感量表对乌鲁木齐市3所三级甲等医院302例人工髋关节置换术患者进行调查。结果人工髋关节置换术患者个人掌控感得分为(24.09±5.11)分,回归分析结果显示,年龄、文化程度、健康信念得分、疼痛得分、社会支持得分、自我效能得分、髋关节功能得分是人工髋关节置换术患者个人掌控感的影响因素。结论人工髋关节置换术患者年龄越小、文化程度越高、健康信念水平越高、疼痛程度越低、康复锻炼自我效能水平越高、社会支持水平越好、髋关节功能恢复越好,患者个人掌控感越好,医务人员应针对其影响因素制定个性化的干预措施,以提高患者个人掌控感,从而改善人工髋关节置换术患者的康复效果。

Objective To investigate the current status of personal control perception in patients undergoing total hip arthroplasty(THA)and analyze its influencing factors.Methods A total of 302 patients undergoing THA from three tertiary hospitals in Urumqi were surveyed using general information questionnaires,self-efficacy for rehabilitation exercise,health belief,social support,hip joint function,and personal control perception scales.Results The average score of personal control perception in patients undergoing THA was(24.09±5.11)points.Regression analysis showed that age,educational level,health belief score,pain score,social support score,self-efficacy score,and hip joint function score were influencing factors of personal control perception in patients undergoing THA.Conclusion Younger age,higher educational level,higher health belief level,lower pain intensity,higher self-efficacy for rehabilitation exercise level,better social support level,and better recovery of hip joint function were associated with better personal control perception in patients undergoing THA.Healthcare providers should develop personalized intervention measures based on these influencing factors to improve patients′personal control perception and thereby enhance the rehabilitation outcomes of patients undergoing THA.