3H护理模式对老年髋部骨折患者术后康复和自我效能的影响

目的：探讨3H护理模式对老年髋部骨折患者术后康复和自我效能的影响。方法：将老年髋部骨折患者50例随机分为研究组和对照组各25例。对照组实施常规护理,研究组予3H护理模式护理,观察2组患者护理前后康复（Harris髋关节评分和Barthel指数）状况和自我效能（一般自我效能感量表-general self efficacy scale,GSES）变化情况。结果：护理前Harris髋关节评分、Barthel指数和GSES研究组和对照组分别为（32.72±6.01）分、（34.52±4.98）分,（48.36±4.55）分、（47.44±5.99）分,（25.88±3.11）分、（26.16±3.98）分,组间比较差异无统计学意义（P〉0.05）;护理后研究组Harris髋关节评分、Barthel指数和GSES为（74.48±4.96）分、（68.32±5.48）分和（32.32±4.82）分,明显高于对照组的（69.76±5.06）分、（61.36±7.71）分和（29.28±4.02）分,P〈0.05。结论：3H护理模式能有效促进老年髋部骨折患者术后康复,改善自我效能。

Impact of 3H Nursing Mode on Postoperative Rehabilitation and Self-effiicacy of Elderly Patients Suffering from Hip Fracture

Objective： To explore the influence of 3H nursing mode on postoperative recovery and self-efficacy of elderly patients with hip fracture. Methods： Fifty patients were randomly allocated to the study group and the control group. The control group accepted routine nursing and the study group 3H nursing mode, the changes of self-efficacy （general self efficacy scale, GSES） and the rehabilitation （Harris hip scale and Barthel index） of both groups were observed before and after nursing. Results： Before the nursing, Harris hip scale, Barthel index and GSES of both groups were respectively （32.72±6.01）, （34.52±4.98）, （48.36±4.55）, （47.44±5.99）, （25.88±3.11） and （26.16±3.98）, the difference had no statistical meaning between both groups （P〉0.05）; after the nursing, Harris hip scale, Barthel index and GSES of the study group were respectively （74.48±4.96）, （68.32±5.48） and （32.32±4.82）, significantly higher than （69.76±5.06）, （61.36±7.71） and （29.28±4.02） of the control group, P〈0.05. Conclusion： 3H nursing mode could effectively promote postoperative recovery and improve self-efficacy of elderly patients with hip fracture.