基于计划行为理论的护理管理方案对全髋关节置换术患者的影响

Influence of Nursing Management Program Based on Planned Behavior Theory on Patients with Total Hip Arthroplasty

目的探究基于计划行为理论的护理管理方案对全髋关节置换术(THA)患者术后疼痛灾难化认知和生活质量的影响。方法选取2021年1月至2023年5月郑州大学第一附属医院收治的THA患者为研究对象,根据护理管理方案,将52例THA患者纳入对照组实施常规护理,将48例THA患者纳入观察组,实施计划行为理论的护理管理方案。比较两组疼痛灾难化认知程度[疼痛灾难化量表(PCS)]、生活质量[生活质量综合评定问卷(GQOLI-74)]。随访1个月,比较两组患者髋关节功能[Harris髋关节功能评分量表(HHS)]、日常生活能力[自我护理能力测定量表(ESCA)]、步态指标、并发症发生情况。结果干预7 d后,两组PCS评分均较干预前降低,且观察组低于对照组(P<0.05);两组GQOLI-74评分均较干预前升高,且观察组高于对照组(P<0.05)。干预1个月后,两组患者HHS评分、ESCA评分均较干预前升高,且观察组高于对照组(P<0.05)。干预1个月后,两组步态指标均较干预15 d后升高,且观察组高于对照组(P<0.05)。干预1个月内,观察组并发症发生率低于对照组(P<0.05)。结论基于计划行为理论的护理管理方案能帮助THA患者消除灾难化思维,提高生活质量,增强日常生活能力以及髋关节功能,并降低并发症发生风险。

Objective To explore the influence of nursing management program based on planned behavior theory on postoperative pain catastrophizing cognition and quality of life in patients undergoing total hip arthroplasty(THA).Methods THA patients admitted to the First Affiliated Hospital of Zhengzhou University from January 2021 to May 2023 were selected as the research subjects.According to the nursing management plan,52 THA patients were included in the control group for routine care,and 48 THA patients were included in the observation group for the implementation of the planned behavior theory nursing management plan.The pain catastrophizing c ognition degree[pain catastrophizing scale(PCS)]and quality of life[generic quality of life inventory-74(GQOLI-74)]were compared between two groups.Follow up for one month,hip joint function[Harris hip joint function scale(HHS)],daily living ability[self-care ability assessment scale(ESCA)],gait indicators,and incidence of complications were compared between the two groups.Results After 7 days of intervention,the PCS scores of both groups decreased compared to before intervention,and the observation group was lower than the control group(P<0.05),the GQOLI-74 scores of both groups increased compared to before intervention,and the observation group was higher than the control group(P<0.05).After one month of intervention,the HHS scores and ESCA scores of the two groups of patients were all higher than before intervention,and the observation group was higher than the control group(P<0.05).After one month of intervention,the gait indicators of both groups increased compared to 15 days after intervention,and the observation group was higher than the control group(P<0.05).Within one month of intervention,the incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Nursing management program based on planned behavior theory can help THA patients eliminate catastrophic thinking,improve quality of life,enhance daily living ability and hip function,and reduce the risk of complications.