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

摘要：

目的 描述髋关节置换术后患者不同阶段院外功能锻炼依从性及健康信念的动态变化,并探讨其相关性。方法 采用便利抽样法,使用自行设计的院外功能锻炼依从性问卷、新版健康信念量表,对195例髋关节置换术后患者进行前瞻性调查。结果 患者术后1个月、3个月、6个月功能锻炼依从率均处于中等水平且呈逐渐下降趋势,分别为（62.60±11.87）%、（57.47±11.16）%、（52.67±10.33）%。健康信念得分均处于中等偏上水平且呈逐渐下降趋势,分别为（153.72±17.60）分、（151.01±14.53）分、（150.05±12.83）分。术后不同阶段患者院外功能锻炼依从性与健康信念均呈正相关关系（r=0.354~0.491,P<0.01）。 结论 患者健康信念水平越高,院外功能锻炼依从性越好。医护人员应根据患者健康信念存在的不足给予相应干预,以提高其院外功能锻炼依从性。

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