健康信念模式干预对老年创伤骨折患者自我管理行为效果的临床研究

目的探讨健康信念模式干预对创伤骨折患者的自我管理行为的效果，为促进老年创伤骨折患者建立良好的自我管理行为提供方法和依据。方法将140例创伤骨折患者分为干预组和对照组各70例，分别应用健康信念模式和常规教育方法进行护理健康教育。结果健康信念模式干预后患者的自我管理行为各维度及自我管理总分，干预组均明显高于对照组，差异有统计学意义（P〈0．01）。健康信念模式干预后，干预组组内比较，干预后较干预前自我管理各维度及自我管理总分差异有统计学意义（P〈0．01）。对照组组内比较，在生活管理维度评分较人组时明显提高，差异有统计学意义（P〈0．01）；而自我管理其他维度及自我管理总分较入组时组内比较，差异无统计学意义（P〉0．05）。结论健康信念模式能够有效改善老年创伤骨折患者的自我管理行为。

Clinical research on the effect of health belief model intervention on self management behavior in elderly patients with traumatic fracture

Objective ] To explore the effect of health belief model intervention on self management behavior in patients with fracture, provide the methods and basis for elderly patients with traumatic fracture to form the good self management behavior. Methods ] 140 cases of traumatic fracture were divided into the experimental group and the control group, 70 cases in each group, and two groups were given the nursing health education by health belief model and conventional educational methods respectively. Results ] After the intervention of the health belief model, all dimensions scores and total scores of self management behavior in the experimental group were significantly higher than those in the control group （P 〈 0.01 }. In the experimental group, there were sig- nificant differences in all dimensions scores and total scores of self management between before and after the intervention of the health belief model （ P 〈 0.01 ）. In the control group, the score of life management dimension after intervention was significantly higher than that before intervention （ P 〈 0.01 ） , while there were no significant differences in the other dimensions scores and total scores of self management between before and after the intervention （ P 〉 0.05 ）. Conclusion ] The health belief model can effec- tively improve the self management behaviors of elderly patients with traumatic fracture.