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目的探讨自我效能干预在促进全膝关节置换术(TKA)患者康复中的临床效果。方法TKA患者60例,随机均分为两组:对照组给予常规治疗、护理和康复训练;试验组在此基础上,增加自我效能干预措施。采用一般自我效能感量表、膝关节功能评分、住院时间和膝关节屈曲达90度所需时间评价两组患者膝关节功能恢复效果。结果两组患者术后2周、1个月和3个月时的自我效能感量表评分和膝关节评分均较术前提高,且试验组均优于对照组(P<0.05)。试验组患者住院时间为(15.04±2.44)d,短于对照组的(17.22±2.57)d(P<0.05);试验组患者人工膝关节屈曲达到90度所需时间为(6.88±2.05)d,短于对照组的(8.45±2.23)d(P<0.05)。结论在常规治疗、护理和康复训练的基础上,自我效能干预能有效提高TKA患者自我管理能力,改善膝关节功能,提高生活质量。
Objective To investigate the clinical effect of self-efficacy intervention in promoting the rehabilitation of patients with total knee arthroplasty (TKA). Methods Sixty patients with TKA were randomly divided into two groups: the control group received routine treatment, nursing and rehabilitation training; on the basis of which, the experimental group added self-efficacy interventions. The general self-efficacy scale, knee function score, length of hospital stay and the time required for knee flexion to reach 90 degrees were used to evaluate the functional recovery of the knee joint in both groups. Results The self-efficacy scales and knee scores of two groups at 2 weeks, 1 month and 3 months after operation were significantly higher than those before operation (P <0.05). The length of hospital stay in trial group was (15.04 ± 2.44) days, which was shorter than that in control group (17.22 ± 2.57) days (P <0.05). The time required for knee flexion to reach 90 degrees in trial group was (6.88 ± 2.05) days , Shorter than that in the control group (8.45 ± 2.23) d (P <0.05). Conclusion On the basis of routine treatment, nursing and rehabilitation training, self-efficacy intervention can effectively improve self-management ability of patients with TKA, improve knee joint function and improve quality of life.