基于自我决定理论的健康教育联合康复训练在手部肌腱损伤术后患者中的应用效果OA
Application effect of health education combined with rehabilitation training based on self-determination theory in patients after hand tendon injury surgery
目的 分析基于自我决定理论的健康教育联合康复训练在手部肌腱损伤术后患者中的应用效果.方法 选取166例手部肌腱损伤术后患者作为研究对象.采用随机数字表法将患者分为对照组(n=83)和观察组(n=83).对照组采用常规护理模式进行康复训练,观察组应用基于自我决定理论的健康教育联合康复训练.比较2组患者干预前和干预后1、3个月的手部功能、康复训练依从性及自我效能感.比较2组术后粘连及不良事件发生情况.结果 干预后1、3个月,观察组的普渡手精细运动评定(PPT)、锻炼依从性调查问卷(EARS)及一般自我效能感量表(GSES)得分高于对照组,差异有统计学意义(P＜0.05).观察组明尼苏达手灵巧度测试(MMDT)完成时间短于对照组,差异有统计学意义(P＜0.05).干预后3个月,观察组粘连程度低于对照组,差异有统计学意义(P＜0.05).2组不良事件总发生率比较,差异无统计学意义(P＞0.05),且所有不良事件经对症处理后均缓解.结论 基于自我决定理论的健康教育联合康复训练有利于手部肌腱损伤术后患者手部功能康复,可提高患者康复训练依从性以及自我效能.
Objective To analyze the application effect of health education combined with reha-bilitation training based on self-determination theory in patients after hand tendon injury surgery.Methods A total of 166 patients after hand tendon injury surgery were selected as the study sub-jects.The patients were divided into control group(n=83)and observation group(n=83)using the random number table method.The control group underwent rehabilitation training using the con-ventional nursing model,while the observation group received health education combined with reha-bilitation training based on self-determination theory.Hand function,rehabilitation training compli-ance and self-efficacy were compared between the two groups before the intervention and at 1 and 3 months after the intervention.The occurrence of postoperative adhesion and adverse events was also-compared between the two groups.Results At 1-and 3-month after intervention,the scores of the Purdue Pegboard Test(PPT),Exercise Adherence Rating Scale(EARS)and General Self-Efficacy Scale(GSES)in the observation group were significantly higher than those in the control group(P＜0.05).The completion time of the Minnesota Manual Dexterity Test(MMDT)in the observation group was significantly shorter than that in the control group(P＜0.05).At 3 months after the intervention,the degree of adhesion in the observation group was significantly lower than that in the control group(P＜0.05).There was no significant difference in the total incidence of adverse events between the two groups(P＞0.05),and all adverse events were alleviated after symptomatic treatment.Con-clusion Health education combined with rehabilitation training based on self-determination theory is beneficial for promoting hand function recovery,improving rehabilitation training compliance,and enhancing self-efficacy in patients after hand tendon injury surgery.
陈佳佳;商金祥;邢冬;潘欢萍;徐儿
绍兴文理学院附属医院骨科,浙江绍兴,312000绍兴文理学院附属医院骨科,浙江绍兴,312000绍兴文理学院附属医院骨科,浙江绍兴,312000绍兴文理学院附属医院骨科,浙江绍兴,312000绍兴文理学院附属医院检验科,浙江绍兴,312000
医药卫生
手损伤肌腱损伤自我决定理论康复训练依从性自我效能普渡手精细运动评定不良事件术后粘连
hand injuriestendon injuriesself-determination theoryrehabilitation training complianceself-efficacyPurdue Pegboard Testadverse eventspostoperative adhesion
《实用临床医药杂志》 2026 (9)
124-128,137,6
浙江省教育厅一般科研项目(Y202351225)
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