论文部分内容阅读
目的:探讨基于行为转变理论的护理模式对老年膝骨性关节炎患者疾病相关知识及自我管理行为的影响。方法:方便抽样选取本院骨科240例膝骨性关节炎患者,按照随机数字表法分为观察组和对照组,每组120例。对照组采取常规健康教育和随访,观察组采取基于行为转变理论的护理模式,两组患者均实施6个月的随访干预。结果:干预后,观察组患者的膝骨性关节炎主要临床症状(69.17%)、危害性知识(61.67%)、运动锻炼知识(68.33%)、膝关节的保护知识(70.83%)、饮食及体重控制知识(75.83%)、情绪管理知识(66.67%)、定期复检的必要性(79.17%)等知识知晓率均高于对照组(P<0.05)。观察组患者控制饮食与体重(68.33%)、适当运动锻炼(72.50%)、关节功能保护(76.67%)、认知症状管理(67.50%)、定期复检及随访(77.50%)等自我管理行为均高于对照组(P<0.05)。观察组患者疼痛(6.72±2.80)、僵硬(2.75±1.44)、日常活动(20.46±8.65)等WOMAC指数评分均低于对照组患者(P<0.05)。结论:基于行为转变理论的护理模式可以提高膝骨性关节炎患者的疾病认知和自我管理行为,改善患者的膝骨关节症状,值得临床推广。
Objective: To explore the effect of nursing model based on behavioral change theory on disease-related knowledge and self-management behavior in elderly patients with knee osteoarthritis. Methods: Two hundred and four patients with knee osteoarthritis in orthopedics were randomly selected and randomly divided into observation group and control group according to the random number table method, with 120 cases in each group. The control group received routine health education and follow-up, and the observation group adopted a nursing model based on behavioral change theory. Both groups were followed up for 6 months. Results: The main symptoms of knee osteoarthritis (69.17%), harmful knowledge (61.67%), exercise knowledge (68.33%), knee protection knowledge (70.83%), diet and Knowledge of body weight control (75.83%), emotional management (66.67%), regular review of necessity (79.17%) and other knowledge were higher than the control group (P <0.05). The self-management behavior such as diet and weight (68.33%), proper exercise training (72.50%), joint function protection (76.67%), cognitive symptom management (67.50%), regular review and follow-up All higher than the control group (P <0.05). The scores of WOMAC index such as pain (6.72 ± 2.80), stiffness (2.75 ± 1.44) and daily activities (20.46 ± 8.65) in observation group were lower than those in control group (P <0.05). Conclusion: The nursing model based on behavioral change theory can improve the disease cognition and self-management behavior of patients with knee osteoarthritis and improve the knee joint symptoms of patients with knee osteoarthritis, which is worthy of clinical promotion.