| 程超,童凤玲,徐春,杨晓君.基于5W理论的协同宣教对髌骨脱位患者功能锻炼依从性及恐动心理的影响[J].上海护理,2023,23(11): |
| 基于5W理论的协同宣教对髌骨脱位患者功能锻炼依从性及恐动心理的影响 |
| The effect of collaborative education based on 5W theory on functional exercise compliance and fear of movement in patients with patellar dislocation |
| DOI： |
| 中文关键词: 5W理论 髌骨脱位 功能锻炼 恐动症 依从性 |
| 英文关键词:5W theory patellar dislocation functional exercise agoraphobia compliance |
| 基金项目:2020年安徽省重点研究与计划开发项目 |
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| 中文摘要: |
| 目的 探索基于5W理论的协同宣教对髌骨脱位患者功能锻炼依从性及恐动心理的影响。方法 选取2021年6月至2022年6月在我院接受手术治疗的82例髌骨脱位患者作为研究对象，按连续入组便利抽样的方法分为对照组和观察组，对照组40例，观察组42例。对照组采用常规健康教育；观察组在接受常规健康教育的基础上，给予基于5W理论的协同宣教。接受干预后，采用功能锻炼依从性量表、恐动Tampa量表和功能锻炼宣教满意度进行评价，比较干预后两组患者功能锻炼依从性得分、恐动信念水平及宣教满意度。结果 干预后观察组患者功能锻炼依从性、对宣教满意度均高于对照组，差异有统计学意义（P＜0.05）；恐动信念得分低于对照组，差异也具有统计学意义（P＜0.05）。结论 髌骨脱位患者术后关节功能水平在一定程度上取决于患者参与功能锻炼的积极性。本研究采用基于5W理论的协同宣教模式综合了患者、照护者、医务人员等多方位资源为患者提供多元化宣教，降低了患者恐动水平，提高了患者功能锻炼依从性及其对宣教满意度。 |
| 英文摘要: |
| Objective To explore the effect of collaborative preaching based on 5W theory on functional exercise compliance and fear of movement in patients with patellar dislocation. Methods Eighty-two patients with patellar dislocation who received surgical treatment in our hospital from June 2021 to June 2022 were selected as the study subjects and divided into control group and observation group according to the method of consecutive enrollment convenience sampling, 40 cases in the control group and 42 cases in the observation group. The control group used conventional health education; the observation group was given synergistic education based on 5W theory on the basis of receiving conventional health education. After receiving the intervention, the functional exercise adherence scale, Tampa fear scale and functional exercise education satisfaction were evaluated, and the functional exercise adherence score, fear of movement belief level and education satisfaction were compared between the two groups after the intervention. Results After the intervention, the patients in the observation group had higher functional exercise compliance and satisfaction with missionary education than the control group, and the difference was statistically significant (P < 0.05); the score of fear of movement beliefs was lower than that of the control group, and the difference was also statistically significant (P < 0.05). Conclusion The level of postoperative joint function in patients with patellar dislocation depends to a certain extent on the patients' motivation to participate in functional exercises. In this study, a collaborative education model based on the 5W theory was adopted to provide diversified education for patients by integrating the resources of patients, carers and medical personnel, which reduced the level of fear of movement and improved the patients' adherence to functional exercises and their satisfaction with the education. |
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