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老年骨折患者早期康复知信行现况 及影响因素分析
Current situation and influencing factors of knowledge-attitude-practice on early rehabilitation among elderly patients with fracture

余茴香 李善玲 马琴 周松 刘佳丽 邱菲

【摘要】目的 调查老年骨折患者早期康复的知识、态度、行为现状及其影响因素,为改善骨折康 复护理工作提供参考。方法 以便利抽样法选择2016 年7 月—2017 年2 月在华中科技大学同济医学院 附属梨园医院骨科住院的200 例老年骨折患者,通过自行设计的骨折患者早期康复知信行问卷调查老 年骨折患者康复的知识、态度、行为现状,采用单因素分析、多元线性回归分析对老年骨折患者康复的 影响因素进行分析。结果 老年骨折患者早期康复知识的平均得分为(62.45±1.32)分, 早期康复态度 的平均得分为(85.22±1.09)分,早期康复活动行为的平均得分为(68.90±0.78)分。单因素分析显示,不 同文化程度、骨折史、住院时间、是否接受过骨折相关指导的老年骨折患者知识、态度、行为得分差异均 有统计学意义(P< 0.05)。多因素分析显示,住院时间为老年患者骨折早期康复知识得分的独立影响因 素(R2=0.594),文化程度为老年患者骨折早期康复态度得分的独立影响因素(R2=0.229),是否接受过骨折 相关指导为老年患者骨折早期康复行为得分的独立影响因素(R2=0.587)。结论 老年骨折患者早期康 复护理知识知晓率低,自我康复行为依从率不高,骨科护士需提高专科康复知识、技能,并结合老年患 者依从性差的特点,进行多层次、多形式的早期康复指导,帮助老年患者提高骨折早期康复知识,促进 其积极配合早期康复活动。
【摘要】Objective To explore the current situation and influencing factors of knowledge-attitudepractice( KAP) on early rehabilitation among elderly patients with fracture so as to provide a reference for improving rehabilitation nursing of fracture. Methods A total of 200 elderly inpatients with fracture at Liyuan Hospital of Tongji Medical College of Huazhong University of Science and Technology were selected by convenience sampling from July 2016 to Feburay 2017. The current situation of KAP of elderly patients with fracture were investigate by the self-designed early rehabilitation KAP questionnaire for fracture patients. The simple correlation and multiple linear regression was used to analyze the influencing factors of rehabilitation among elderly patients with fracture. Results The average score of knowledge, attitude and activity behavior on early rehabilitation of elderly patients with fracture was( 62.45±1.32),( 85.22±1.09) and( 68.90±0.78). Simple correlation showed that there were statistically significant differences in the scores of knowledge, attitude and activity behavior of elderly patients with fracture among different education background, the history of fracture, length of hospital stay and whether they received guidance related to fracture (P<0.05). Multiple linear regression revealed that the independent influencing factor of the score of knowledge,attitude and activity behavior on early rehabilitation of elderly patients was the length of hospital stay, education background and whether they received guidance related to fracture respectively( R2=0.594, 0.229, 0.587). Conclusions Elderly patients with fracture were with the low awareness rate of knowledge on early rehabilitation nursing and the low compliance of self-rehabilitation behavior. Nurses in department of orthopedics should improve the special knowledge and skills on rehabilitation and provide a multilevel and multiform guidance of early rehabilitation by combining with the charactertics of low compliance of elderly patients so as to help elderly patients improve the knowledge level of early rehabilitation and promote early rehabilitation practice.

【关键词】老年人; 骨折; 康复护理; 知信行; 影响因素
【关键词】Aged; Fractures, bone; Rehabilitation nursing; Knowledge-attitude-practice; Influencing factor