关键词: 关节成形术, 置换, 髋, 健康行为, 病人依从, 康复护理, 纵向研究

Abstract:

Objective To describe the dynamic change of exercise compliance after discharge and health belief among patients underwent hip arthroplasty at different stages and explore the correlation. Methods A prospective study was employed. Convenience sampling was used to recruit 195 cases of patients underwent hip arthroplasty,and the self-designed questionnaire of exercise compliance and new Health Belief Scale were used for investigation. Results At 1,3,6 months after arthroplasty,patients’ exercise compliance was at moderate level and showed a descending trend. The rates of exercise compliance were（62.60±11.87）%,（57.47±11.16）%,（52.67±10.33）%,respectively. Patients’ health belief scores were（153.72±17.60）,（151.01±14.53）,（150.05±12.83）,respectively,which were above the average and showed a descending trend. Exercise compliance after discharge was correlated with health belief（r=0.354~0.491,P<0.01）. Conclusion Higher level of patients’ health belief was related to better exercise compliance after discharge. Medical staff should provide corresponding appropriate intervention for patients based on defects in their health belief to improve exercise compliance after discharge.

Key words: Arthroplasty, Replacement, Hip, Health Behavior, Patient Compliance, Rehabilitation Nursing, Longitudinal Studies