基于认知负荷理论的分阶段信息支持在老年骨科大手术病人围术期的应用OA
Application of staged information support based on cognitive load theory in the perioperative period of elderly patients undergoing major orthopedic surgery
目的:探讨基于认知负荷理论的分阶段信息支持在老年骨科大手术病人围术期的应用效果.方法:于2024年8月—2025年5月选取河北医科大学第三医院的 78例老年骨科大手术病人为研究对象.将 2024年 8月—12月收治的 38例病人设为对照组,将2025年1月—5月收治的40例病人设为试验组.对照组采用常规护理干预措施,试验组在此基础上采用基于认知负荷理论的分阶段信息支持干预.比较两组病人对自身所患疾病的认知和感受、焦虑程度、康复锻炼自我效能、出院准备度.结果:试验组病人出院时的简易疾病感知问卷(BIPQ)得分和老年人焦虑量表(GAI)得分均低于干预前及同期对照组(均P<0.05).试验组病人出院前1 d中文版康复锻炼自我效能量表(SER)和术后7 d的出院准备度量表(RHDS)得分均高于术后3 d及同期对照组(均P<0.05).结论:基于认知负荷理论的分阶段信息支持可以降低老年骨科大手术病人对疾病的错误认知,缓解其焦虑情绪,提高其康复锻炼自我效能与出院准备度.
Objective:To explore the application effect of staged information support based on cognitive load theory in the perioperative period of elderly patients undergoing major orthopedic surgery.Methods:A total of 78 elderly patients undergoing major orthopedic surgery in Hebei Medical University Third Hospital were selected as the study subjects from August 2024 to May 2025.The 38 patients admitted from August to December 2024 were assigned to the control group,and the 40 patients admitted from January to May 2025 were assigned to the experimental group.The control group received routine nursing interventions,while the experimental group received staged information support based on cognitive load theory in addition to routine nursing interventions.The two groups were compared in terms of patients' cognition and perception of their own diseases,anxiety level,rehabilitation exercise self-efficacy,and readiness for hospital discharge.Results:The score of Brief Illness Perception Questionnaire and score of Geriatric Anxiety Inventory of the experimental group at discharge were lower than those before intervention and those in the control group at the same time period(all P<0.05).The score of Chinese version of the Self-Efficacy for Rehabilitation Scale in the experimental group on 1st day before discharge and score of Readiness for Hospital Discharge Scale on 7th day after surgery were higher than those on 3rd day after surgery and those in the control group at the same time period(all P<0.05).Conclusions:Staged information support based on cognitive load theory could reduce the incorrect cognition of the disease in elderly patients undergoing major orthopedic surgery,alleviate their anxiety,and improve their rehabilitation exercise self-efficacy and readiness for hospital discharge.
李艳娇;刘欢;李赛;杨路;张平;夏贺欢;田峥
河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000河北医科大学第三医院,河北 050000
认知负荷理论分阶段信息支持老年人骨科疾病感知焦虑自我效能出院准备度围术期护理
cognitive load theorystaged information supportelderlyorthopedicsillness perceptionanxietyself-efficacyreadiness for hospital dischargeperioperative nursing
《护理研究》 2026 (14)
2504-2509,6
河北省医学科学研究重点课题计划项目,编号:20250081
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