Application of empowerment theory in functional exercise following hip arthroplasty

Abstract

Objective To explore the application effect of empowerment theory in functional exercise of hip arthroplasty patients. Methods A total of 118 hip arthroplasty patients admitted to the Department of Orthopaedics, Guangzhou Red Cross Hospital from March 2016 to March 2018 were selected. The inclusion criteria were patients with first-time hip arthroplasty, with clear consciousness, effective communication and informed consent in language and writing, and informed consent. The patients with lung, kidney and other important organ diseases or malignant tumors, and those with a history of mental illness or long-term use of psychotropic drugs were excluded.The arthroplasty patients were randomly divided into the observation group(60 cases) and the control group(58 cases). The patients in observation group were treated with empowerment education in functional exercise while the control group received usual nursing care. The independent sample t test was used to compare the self-efficacy score of functional exercise and hip function score between the two groups of patients. Chi-square test was used to compare functional exercise compliance between the two groups. Results The self-efficacy scores of functional exercise in the observation group(88±15) were higher than those in the control group (67±14), and the difference was statistically significant (t=7.891, P<0.01). The compliance rate of functional exercise in the observation group (75%) was higher than that in the control group (52%), and the difference was statistically significant (χ2=7.229, P=0.027). The hip function scores of the observation group(80±7)were higher than those of the control group(75±7), and the difference was statistically significant (t=3.918, P<0.01). Conclusion The empowerment theory can effectively improve the functional self-efficacy and functional exercise compliance of hip arthroplasty patients and promote the rehabilitation of hip function. Key words: Power (Psychology); Arthroplasty, replacement, hip; Exercise