自我效能理论在老年人工全膝关节置换术后康复训练中的应用

目的探讨自我效能理论在老年人工全膝关节置换术康复训练中应用的临床效果。方法接受人工全膝关节置换术老年患者26例（45膝），入院后随机分为研究组13例（23膝）和对照组13例（22膝），两组患者均采用骨科人工全膝关节置换术常规护理，研究组在此基础上运用自我效能理论指导护理实践。治疗前和治疗后1个月、3个月分别对两组采用一般自我效能感量表进行自我效能评价，同时运用HSS膝关节评分标准对两组进行膝关节评分。结果研究组患者术后1个月及3个月自我效能评分及HSS评分与对照组比较差异具有统计学意义（P〈0.05）。结论自我效能理论应用于全膝关节置换术患者的康复训练，能充分调动患者自身潜能，增加自信心，提高训练效果，促进患者膝关节功能早日康复。

The clinical application of self-efficacy theory in the rehabilitation of elderly patients with total knee replacement

Objective To evaluate the effects of self - efficacy theory in the rehabilitation of elderly patients with total knee replacement. Method Twenty - six elderly patients （45 knees） with total knee replacement were randomly divided into two groups. In addition to routine nursing,the self- efficacy theory was applied in the rehabilitation of patients in the experimental group. The General Self- Efficacy Scale（GSES） and HSS knee joint grading criteria were used to assess the patients before and at one month and three months after the treatment. Result The scores of GSES and HSS were significantly higher in the experimental group than that of control group at one month and three months after the treatment （ P 〈 0.05 ）. Conclusion The application of self - efficacy theory in the rehabilitation of elderly patients with total knee replacement can motivate the patients＇ potential,increase their self-confidence,improve the rehabilitation outcomes and promote the recovery of knee joint function.