3H护理模式对老年髋部骨折患者术后康复和自我效能的影响

摘要

Objective:To explore the influence of 3H nursing mode on postoperative recovery and self-effica-cy of elderly patients with hip fracture. Methods:Fifty patients were randomly allocated to the study group and the control group. The control group accepted routine nursing and the study group 3H nursing mode, the changes of self-efficacy (general self efficacy scale, GSES) and the rehabilitation (Harris hip scale and Barthel index) of both groups were observed before and after nursing. Results: Before the nursing, Harris hip scale, Barthel index and GSES of both groups were respectively (32.72 ±6.01), (34.52 ±4.98), (48.36 ±4.55), (47.44 ±5.99), (25.88 ±3.11) and (26.16±3.98), the difference had no statistical meaning between both groups (P>0.05);after the nursing, Harris hip scale, Barthel index and GSES of the study group were respectively (74.48 ±4.96), (68.32 ±5.48) and (32.32 ±4.82), significantly higher than (69.76±5.06), (61.36±7.71) and (29.28±4.02) of the control group,P<0.05. Conclusion:3H nursing mode could effectively promote postoperative recovery and improve self-efficacy of elderly patients with hip fracture.%目的：探讨3H护理模式对老年髋部骨折患者术后康复和自我效能的影响。方法：将老年髋部骨折患者50例随机分为研究组和对照组各25例。对照组实施常规护理，研究组予3H护理模式护理，观察2组患者护理前后康复（Harris髋关节评分和Barthel指数）状况和自我效能（一般自我效能感量表-general self efficacy scale，GSES）变化情况。结果：护理前Harris髋关节评分、Barthel指数和GSES研究组和对照组分别为（32.72±6.01）分、（34.52±4.98）分，（48.36±4.55）分、（47.44±5.99）分，（25.88±3.11）分、（26.16±3.98）分，组间比较差异无统计学意义(P＞0.05)；护理后研究组Harris髋关节评分、Barthel指数和GSES为（74.48±4.96）分、（68.32±5.48）分和（32.32±4.82）分，明显高于对照组的（69.76±5.06）分、（61.36±7.71）分和（29.28±4.02）分，P＜0.05。结论：3H护理模式能有效促进老年髋部骨折患者术后康复，改善自我效能。