在接受全膝关节关节整形手术的患者中,健康行动过程方法理论的影响
Fangling Zhou1,2, Yaruo Huang3, Ruiqin Sha2
1School of Nursing, Kunming Medical University, Kunming, China.
Scientific reports
|January 6, 2026
概括
使用健康行动过程方法 (HAPA) 理论的康复计划显著改善了全膝关节关节整形术 (TKA) 患者的结果. 基于HAPA的方法增强了关节功能和患者的自我效能,同时减少了疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 健康心理学 心理健康心理学
背景情况:
- 全膝关节整形 (TKA) 康复对于功能恢复至关重要.
- 优化TKA后恢复需要基于证据的干预措施.
- 患者的自我效能在康复成功中起着关键作用.
研究的目的:
- 评估基于TKA患者的健康行动过程方法 (HAPA) 理论的康复计划的有效性.
- 为了比较基于HAPA的康复组和接受常规护理的对照组之间的结果.
主要方法:
- 一项涉及82名TKA患者的准实验性研究,分为对照组和实验组.
- 实验组接受了为期3个月的HAPA理论基础的康复计划,以及日常护理.
- 结果措施包括特殊外科医院 (HSS) 评分,自我效能康复结果表 (SER),疼痛数值评分表 (NRS) 和WOMAC评分.
主要成果:
- 实验组在干预后显示出明显更高的HSS和SER得分 (P-调整=0.020;P-调整=0.006).
- 实验组报告了显著较低的NRS和WOMAC得分 (P-调整=0.009;P-调整=0.016).
- 两组之间没有观察到明显的手术前差异.
结论:
- 基于HAPA理论的康复计划是TKA恢复的科学验证和有效方法.
- 这种干预显著缓解疼痛,增强关节功能,并提高患者的自我效能.
- 哈帕模型为设计有效的TKA康复策略提供了一个强大的框架.
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