Self-efficacy on rehabilitative exercise and the influential factors in patients having undergone total hip or knee arthroplasty / 现代临床护理

Objective To explore the exercise self-efficacy and its influential factors in patients having undergone total hip or knee arthroplasty.Method The Self-Efficacy Rehabilitation Outcome Scale(SER)and demographic questionnaire were used in the investigation among sixty-five patients recruited by convenient sampling.Results The average score on exercise self-efficacy was(67.94±17.22)and the influential factors included age,family income,types of surgery,whether there were monitors for their exercise and whether there were other patients communicating on exercise methods(all P<0.05).Conclusions The self-efficacy in patients after total hip or knee arthroplasty is at lower level.It is necessary to enhance rehabilitative education to improve their self-efficacy in rehabilitative exercise.

Factors influence elderly patients with hip fracture sitting early away from bed after operation and countermeasures / 现代临床护理

Objective To explore the factors influencing the sitting early away from bed after operation in elderly patients having hip fractures.Method Forty-six elderly patients with hip fractures who were taking postoperative functional exercises of sitting away from bed and 32 nurses were investigated on the influential factors by a questionnaire.Results More than 52.1%of the patients believed the factors influencing their sitting early away from bed including lack of family support,worry about insufficient physical strength and fear of pains.65.6%of the nurses thought the factor was their inadequate assessment.Conclusion Such measures as enhancing family support,nutritional support,relief of pains from sitting from bed and improving nurse’s ability in rehabilitative training instruction are important for the patients to sit early away from bed after operation on hip fractures.