Rehabilitation therapy self-efficacy and functional recovery after hip fracture.
Rehabilitation therapy self-efficacy and functional recovery after hip fracture.
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髋部骨折后康复治疗的自我效能和功能恢复。
DOI：
10.1097/00004356-200209000-00011
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Kenyon,Lisa
中科院分区：
文献类型：
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作者：
Fortinsky,RichardH;Bohannon,RichardW;Litt,MarkD;Tennen,Howard;Maljanian,Rose;Fifield,Judith;Garcia,RamonI;Kenyon,Lisa
心理因素在髋部骨折患者功能恢复过程中的作用知之甚少。本研究采用前瞻性队列设计，以检验以下假设：住院髋部骨折患者进行康复治疗的自我效能越高，骨折后6个月恢复到骨折前运动功能水平的可能性越大。通过控制骨折前功能水平和住院手术修复期间报告的抑郁症状，对这一假设进行了检验。在假设检验之前，对康复治疗自我效能的原始测量进行了评估。研究患者从两家医院招募，住院期间接受采访，并在六个月后随访。纳入假设检验分析的患者（n= 24）大多为女性（82%），平均年龄为79岁。结果显示，自我效能评分越高的患者，控制骨折前运动功能水平后，运动恢复的可能性越大（校正比值比（AOR）= 1.21; 95%置信区间（CI）= 1.00-1.45; P= 0.05）。在将抑郁症状（流行病学抑郁中心（CES-D）评分）加入该logistic回归模型后，康复治疗自我效能与运动恢复可能性之间的正相关性持续存在（自我效能的AOR = 1.18; 95%CI = 0.99-1.42; P= 0.07）。结论：康复治疗自我效能感是影响髋部骨折患者运动功能恢复的重要心理因素。
Little is known about the role of psychological factors in the functional recovery process of hip fracture patients. This study employed a prospective cohort design to test the hypothesis that hospitalized hip fracture patients with greater reported self-efficacy for conducting rehabilitation therapy would have a greater likelihood of recovering to a pre-fracture level of locomotion function six months after the fracture. This hypothesis was tested controlling for pre-fracture level of function and depressive symptoms reported during hospitalization for surgical repair. An original measure of rehabilitation therapy self-efficacy was evaluated prior to hypothesis testing. Study patients were recruited from two hospitals, interviewed during hospitalization and followed up six months later. Patients included in hypothesis test analyses (n= 24) were mostly women (82%) with a mean age of 79 years. Results showed that patients with higher self-efficacy scores had a greater likelihood of locomotion recovery, controlling for pre-fracture locomotion function level (adjusted odds ratio (AOR)= 1.21; 95% confidence interval (CI)= 1.00–1.45; P= 0.05). This positive association between rehabilitation therapy self-efficacy and likelihood of locomotion recovery persisted after adding depressive symptoms (the Center for Epidemiological Studies-depression (CES-D) score) to this logistic regression model (AOR for self-efficacy= 1.18; 95% CI= 0.99–1.42; P= 0.07). It is concluded that rehabilitation therapy self-efficacy is a potentially important psychological factor in helping hip fracture patients recover locomotion functioning.