Application of Health Belief Model and Theory of Planned Behavior-Based Care in Patients undergoing Surgery for Limb Fractures.

IF 0.9 4区医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2024-01-01 DOI:10.62713/aic.3596

Xin-Yu Wang, Xi-Qian Gu

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Abstract

Aim: This retrospective study aimed to evaluate the effectiveness of a nursing model on the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in patients undergoing surgery for limb fractures.

Methods: A total of 100 patients who underwent limb fracture surgery at Zhongnan Hospital of Wuhan University from February 2023 to February 2024 were selected for this study. The research group (n = 58) received nursing care based on the HBM and TPB, while the control group (n = 42) received conventional nursing care. Comparative analyses were conducted on curative effectiveness, the degree of limb swelling, pain intensity (measured by the Visual Analogue Scale [VAS]), symptom recovery time (including pain duration, swelling duration, ambulation time, and length of stay), and self-care management (assessed through behavior management, psychological activities, and status management).

Results: The results indicated no significant differences in curative effectiveness between the two groups (p > 0.05). The research group had fewer grade I and II limb swelling cases than the control group (p < 0.05). Additionally, the research group reported lower VAS scores on postoperative days 3 and 7, earlier ambulation, shorter pain and swelling durations, and reduced length of hospital stay compared to the control group (p < 0.01). Furthermore, self-care management scores, including behavior management, psychological activities, and status management, were significantly higher in the research group after treatment compared to the control group (p < 0.05).

Conclusions: The nursing model based on HBM and TPB provides benefits for patients undergoing limb fracture surgery by reducing swelling, relieving pain, promoting symptom disappearance, speeding up rehabilitation, and enhancing self-care management.

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健康信念模型和计划行为护理理论在肢体骨折手术患者中的应用。

目的：本回顾性研究旨在评估健康信念模型（HBM）和计划行为理论（TPB）护理模式在四肢骨折手术患者中的应用效果：本研究选取2023年2月至2024年2月在武汉大学中南医院接受四肢骨折手术的患者共100例。研究组（n = 58）接受基于 HBM 和 TPB 的护理，对照组（n = 42）接受常规护理。对治疗效果、肢体肿胀程度、疼痛强度（用视觉模拟量表[VAS]测量）、症状恢复时间（包括疼痛持续时间、肿胀持续时间、行走时间和住院时间）和自我护理管理（通过行为管理、心理活动和状态管理进行评估）进行比较分析：结果表明，两组患者的疗效无明显差异（P>0.05）。研究组的 I 级和 II 级肢体肿胀病例少于对照组（P < 0.05）。此外，与对照组相比，研究组在术后第 3 天和第 7 天的 VAS 评分更低、下地行走更早、疼痛和肿胀持续时间更短、住院时间更短（P < 0.01）。此外，与对照组相比，研究组治疗后的自我护理管理得分（包括行为管理、心理活动和状态管理）明显更高（P < 0.05）：基于 HBM 和 TPB 的护理模式可为四肢骨折手术患者提供消肿、止痛、促进症状消失、加快康复和加强自我护理管理等益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.