Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement

DENG Ying; PAN Wei-yu; ZUO Shan-shan; SHAN Dan-dan

doi:10.16766/j.cnki.issn.1674-4152.002822

Volume 21 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2023 > 21(1): 100-103

DENG Ying, PAN Wei-yu, ZUO Shan-shan, SHAN Dan-dan. Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822

Citation:

DENG Ying, PAN Wei-yu, ZUO Shan-shan, SHAN Dan-dan. Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822

Citation:

DENG Ying, PAN Wei-yu, ZUO Shan-shan, SHAN Dan-dan. Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822

PDF( 459 KB)

Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement

doi: 10.16766/j.cnki.issn.1674-4152.002822

1.
Nursing Department, Henan Provincial People' s Hospital, Zhengzhou, Henan 450000, China

Funds:

LHGJ20190582

Received Date: 2022-04-21
Available Online: 2023-04-07

Abstract

Abstract

Objective To explore the effect of health education based on action research method on mental resilience, rehabilitation compliance, self-care ability and postoperative hip functional rehabilitation of patients with total hip replacement (THR). Methods A total of 100 patients who received THR in Henan Provincial People' s Hospital from January 2019 to January 2022 were divided into study group (n=50) and control group (n=50) by the random number table method. They received action research method-based health education and routine health education respectively, and the intervention lasted for 3 months after discharge. Mental resilience and hip recovery of patients in the two groups were evaluated by using the Conner Davidson resilience scale (CD-RISC) and Harris hip rating scale before the intervention and after 3 months of intervention. The rehabilitation compliance of the two groups at different postoperative time points and complications after 1 month of intervention were analysed, and exercise self-care agency (ESCA) was performed after 3 months of intervention. Results The CD-RISC and ESCA scores of the study group were significantly higher than those of the control group after 3 months of intervention, as well as Harris scores after 1 and 3 months of intervention (all P < 0.05). The complete compliance rates of the study group at 1 week, 1 month and 3 months after surgery were 88.00%, 68.00% and 54.00%, respectively, which were significantly higher than those of the control group at 50.00%, 40.00% and 28.00% (all P < 0.05). The total incidence of complications after 1 month of intervention in the study group was 4.00%, which was lower than that in the control group (22.00%, P < 0.05). Conclusion Health education based on the action research method can improve the postoperative mental resilience and self-care ability of patients with THR, enhance their rehabilitation compliance, reduce complications and promote the recovery of hip joint.
- Total hip replacement,
- Action research method,
- Health education,
- Postoperative rehabilitation

FullText(HTML)

References(28)

References

[1]	GABBERT T, FILSON R, BODDEN J, et al. Summary: NAON' s best practice guideline, total hip replacement (Arthroplasty)[J]. Orthop Nurs, 2019, 38(1): 4-5. doi: 10.1097/NOR.0000000000000520
[2]	朱仲廉, 王照东, 高许斌, 等. 医养结合模式对老年患者髋关节置换术后恐动症及康复质量的影响[J]. 中华全科医学, 2019, 17(6): 947-950. doi: 10.16766/j.cnki.issn.1674-4152.000832 ZHU Z L, WANG Z D, GAO X B, et al. Effect of combination of medical care and nursing care on kinesiophobia and rehabilitation quality in elderly patients after hip arthroplasty[J]. Chin J General Practice, 2019, 17(6): 947-950. doi: 10.16766/j.cnki.issn.1674-4152.000832
[3]	颜玉梅, 程亚妹. 老年人工全髋关节置换术后早期康复锻炼依从性影响因素调查及其干预对策[J]. 全科护理, 2021, 19(31): 4440-4444. doi: 10.12104/j.issn.1674-4748.2021.31.031 YAN Y M, CHENG Y M. Influence factors of early rehabilitation exercise compliance in elderly patients after total hip arthroplasty[J]. General Practice Nursing, 2021, 19(31): 4440-4444. doi: 10.12104/j.issn.1674-4748.2021.31.031
[4]	KAMIS S. 行动研究法(上)[J]. 张先怡, 译. 教育科学研究, 1994(4): 32-36. KAMIS S. Action Research method (Part 1)[J]. Educational Science Research, 1994(4): 32-36.
[5]	洪静芳, 辛琼芝, 余安汇, 等. 行动研究法在护理研究中的应用[J]. 护士进修杂志, 2008, 23(17): 1558-1560. doi: 10.3969/j.issn.1002-6975.2008.17.009 HONG J F, XIN Q Z, YU A R, et al. Application of research method in nursing research[J]. Journal of Advanced Nursing, 2008, 23(17): 1558-1560. doi: 10.3969/j.issn.1002-6975.2008.17.009
[6]	杨丽慧. 基于行动研究实践理论的健康教育对直肠癌造口患者自我效能和自护能力的影响[J]. 护理实践与研究, 2020, 17(7): 86-88. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202007073.htm YANG L H. Effect of health education based on action research practice theory on self-efficacy and self-care ability of rectal cancer patients with colostomy[J]. Nursing Practice and Research, 2020, 17(7): 86-88. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202007073.htm
[7]	林晓婷, 杜艳芬. 知信行健康教育对髋关节置换术患者疾病认知及训练依从性的影响[J]. 医学临床研究, 2018, 35(8): 1661-1663. doi: 10.3969/j.issn.1671-7171.2018.08.074 LIN X T, DU Y F. Effect of KAP health education on disease cognition and training compliance in patients undergoing hip arthroplasty[J]. Journal of Clinical Research in Medicine, 2018, 35(8): 1661-1663. doi: 10.3969/j.issn.1671-7171.2018.08.074
[8]	俞凤彬, 王春燕, 朱爱锋, 等. 基于焦点解决模式调查与分析人工髋关节置换高龄患者健康教育需求[J]. 检验医学与临床, 2020, 17(12): 1736-1738. doi: 10.3969/j.issn.1672-9455.2020.12.030 YU F B, WANG C Y, ZHU A F, et al. Investigation and analysis of health education needs of elderly patients with artificial hip arthroplasty based on focus solution model[J]. Laboratory Medicine & Clinic, 2020, 17(12): 1736-1738. doi: 10.3969/j.issn.1672-9455.2020.12.030
[9]	万亿, 王钧, 段祥林. 老年股骨颈骨折患者髋关节置换术后影响髋关节功能恢复的因素分析[J]. 中国中医骨伤科杂志, 2019, 27(11): 58-61. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201911014.htm WAN Y, WANG J, DUAN X L. Analysis of factors affecting the recovery of hip joint function after hip replacement in elderly patients with femoral neck fracture[J]. Chinese Journal of Traditional Chinese Medicine Orthopedics, 2019, 27(11): 58-61. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201911014.htm
[10]	陈燕, 田燕, 袁琼. 思维导图结合多媒体健康教育在全髋关节置换术中的效果[J]. 临床与病理杂志, 2022, 42(6): 1443-1448. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202206026.htm CHEN Y, TIAN Y, YUAN Q. Effect of mind mapping combined with multimedia health education in total hip arthroplasty[J]. Journal of Clinical & Pathology, 2022, 42(6): 1443-1448. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202206026.htm
[11]	江尚燕, 李惠萍, 李伦兰, 等. 微信视频随访对人工髋关节置换术后居家患者功能康复的效果研究[J]. 中国全科医学, 2018, 21(29): 3627-3631, 3635. doi: 10.3969/j.issn.1007-9572.2018.00.106 JIANG S Y, LI H P, LI L L, et al. Effect of wechat video follow-up on functional rehabilitation of home patients after artificial hip replacement[J]. Chin J General Practice, 2018, 21(29): 3627-3631, 3635. doi: 10.3969/j.issn.1007-9572.2018.00.106
[12]	梁宝勇, 程诚. 心理健康素质测评系统·中国成年人心理弹性量表的编制[J]. 心理与行为研究, 2012, 10(4): 269-277. doi: 10.3969/j.issn.1672-0628.2012.04.005 LIANG B Y, CHENG C. Mental health quality assessment system · development of Chinese adult resilience scale[J]. Psychology and Behavior Research, 2012, 10(4): 269-277. doi: 10.3969/j.issn.1672-0628.2012.04.005
[13]	WANG H H, LAFFREY S C. Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J]. Kaohsiung J Med Sci, 2000, 16(9): 459-467.
[14]	SMITH M V, KLEIN S E, CLOHISY J C, et al. Lower extremity-specific measures of disability and outcomes in orthopaedic surgery[J]. J Bone Joint Surg Am, 2012, 94(5): 468-477. doi: 10.2106/JBJS.J.01822
[15]	钱丹, 陈利勤, 顾敏琴, 等. 赋权教育对老年全髋关节置换患者出院准备度和自我护理能力的影响[J]. 中国老年学杂志, 2021, 41(4): 858-861. doi: 10.3969/j.issn.1005-9202.2021.04.055 QIAN D, CHEN L L, GU M Q, et al. Effect of empowerment education on discharge readiness and self-care ability in elderly patients undergoing total hip arthroplasty[J]. Chinese Journal of Gerontology, 2021, 41(4): 858-861. doi: 10.3969/j.issn.1005-9202.2021.04.055
[16]	王月虹, 汪恒兰, 谢玉清, 等. 回授法结合动机性访谈在全髋关节置换术后康复训练中的效果评价[J]. 中国康复医学杂志, 2021, 36(7): 845-848. doi: 10.3969/j.issn.1001-1242.2021.07.015 WANG Y H, WANG H L, XIE Y Q, et al. Evaluation of feedback method combined with motivational interviewing in rehabilitation training after total hip arthroplasty[J]. Chin J Rehabilitation Med, 2021, 36(7): 845-848. doi: 10.3969/j.issn.1001-1242.2021.07.015
[17]	顾贇, 李迪斐, 周玲. 思维导图与快速康复理念在人工全髋关节置换术老年患者健康教育中的应用观察[J]. 老年医学与保健, 2021, 27(5): 973-977. doi: 10.3969/j.issn.1008-8296.2021.05.020 GU Y, LI D F ZHOU L. Application of mind map and rapid recovery concept in health education of elderly patients undergoing total hip arthroplasty[J]. Geriatrics and Health Care, 2021, 27(5): 973-977. doi: 10.3969/j.issn.1008-8296.2021.05.020
[18]	李燕. 延续性护理对人工髋关节置换术后患者关节功能和自我护理能力的影响[J]. 川北医学院学报, 2020, 35(1): 163-165. https://www.cnki.com.cn/Article/CJFDTOTAL-NOTH202001046.htm LI Y. Effect of continuous nursing on joint function and self-care ability of patients after artificial hip replacement[J]. Journal of North Sichuan Medical College, 2020, 35(1): 163-165. https://www.cnki.com.cn/Article/CJFDTOTAL-NOTH202001046.htm
[19]	孙银侠, 申琳, 郗春梅. 多维度强化护理对股骨颈骨折全髋关节置换术后功能恢复及预后的影响[J]. 海南医学, 2019, 30(19): 2581-2584. doi: 10.3969/j.issn.1003-6350.2019.19.039 SUN Y X, SHEN L, XI C M. Effect of multi-dimensional intensive nursing on functional recovery and prognosis after total hip arthroplasty for femoral neck fracture[J]. Hainan Med, 2019, 30(19): 2581-2584. doi: 10.3969/j.issn.1003-6350.2019.19.039
[20]	叶菁菁, 张咏梅, 谢倩倩, 等. 基于行为改变轮理论的健康教育与康复锻炼对全髋关节置换术后患者髋关节功能恢复的影响[J]. 现代预防医学, 2021, 48(6): 1132-1135, 1148. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202106041.htm YE J J, ZHANG Y M, XIE Q Q, et al. Effect of health education and rehabilitation exercise based on behavioral change round theory on hip function recovery of patients after total hip arthroplasty[J]. Modern Preventive Medicine, 2021, 48(6): 1132-1135, 1148. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202106041.htm
[21]	雷光青. 健康行动研究的理论基础与经典行为改变理论的对比解析[J]. 中国健康教育, 2017, 33(8): 764-767. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201708023.htm LEI G Q. Comparative analysis of the theoretical basis of health action research and classical behavior change theory[J]. China Health Education, 2017, 33(8): 764-767. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201708023.htm
[22]	海彬, 池玉晓, 王双凤, 等. 基于行动研究法的健康教育在溃疡性结肠炎患者中的应用[J]. 中华现代护理杂志, 2020, 26(36): 5071-5075. HAI B, CHI Y X, WANG S F, et al. Application of health education based on action research method in patients with ulcerative colitis[J]. Chin J Modern Nursing, 2020, 26(36): 5071-5075.
[23]	HERRMAN H. Implementing the WPA Action Plan 2017-2020: community orientation for learning, research and practice[J]. World Psychiatry, 2019, 18(1): 113-114.
[24]	王金红, 殷霞, 司海朋. 老年股骨颈骨折髋关节置换前心理弹性和置换后急性精神障碍的相关性分析[J]. 中国临床研究, 2018, 31(11): 1519-1521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201811020.htm WANG J H, YIN X, SI H P. Relationship between resilience before hip arthroplasty and acute mental disorder after hip arthroplasty in elderly patients with femoral neck fracture[J]. Chinese Journal of Clinical Research, 2018, 31(11): 1519-1521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201811020.htm
[25]	张明慧, 邓苗, 徐芙蓉. 髋关节置换术后患者的心理弹性及其与关节功能水平的相关性[J]. 广西医学, 2019, 41(13): 1724-1727. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX201913040.htm ZHANG M H, DENG M, XU F R. Relationship between resilience and joint function in patients with hip arthroplasty[J]. Guangxi Med, 2019, 41(13): 1724-1727. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX201913040.htm
[26]	杜静静, 杨慧敏, 赵丹. 髋关节置换术后患者不同阶段院外功能锻炼依从性与健康信念的动态变化及其相关性[J]. 齐鲁护理杂志, 2020, 26(22): 4-7. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202022002.htm DU J J, YANG H M, ZHAO D. Relationship between out-of-hospital functional exercise compliance and health belief in patients undergoing hip replacement[J]. Qilu Journal of Nursing, 2020, 26(22): 4-7. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202022002.htm
[27]	戴晴, 李伦兰, 甘玉云, 等. 人工髋关节置换术后不同时期髋关节功能与自我护理能力的相关性研究[J]. 中国康复医学杂志, 2017, 32(10): 1130-1134. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201710008.htm DAI Q, LI L L, GAN Y Y, et al. Relationship between hip function and self-care ability in different periods after artificial hip replacement[J]. Chin J Rehabilitation Med, 2017, 32(10): 1130-1134. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201710008.htm
[28]	陶雁, 曾必云. 髋关节置换术后老年患者的自我护理行为水平及影响因素[J]. 上海护理, 2021, 21(7): 29-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202107012.htm TAO Y, ZENG B Y. Self-care behavior of elderly patients after hip replacement and its influencing factors[J]. Shanghai Nursing, 2021, 21(7): 29-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202107012.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(6)

Get Citation

PDF

XML

Article Metrics

Article views (358) PDF downloads(10)

Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement

doi: 10.16766/j.cnki.issn.1674-4152.002822

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement

doi: 10.16766/j.cnki.issn.1674-4152.002822

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content