【摘要】 目的 探讨保护动机理论结合共同决策的风险管理护理方案在老年髋部骨折手术患者中的应用效果。方法 选取2022年10月至2023年10月于郑州大学人民医院就诊的髋部骨折老年患者104例，以随机数字表法分为两组，各52例。对照组接受常规护理干预，研究组在对照组基础上给予保护动机理论结合共同决策的风险管理护理方案，两组均干预至患者出院。比较两组手术前1 d手术接受度及干预后心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我效能[自我效能感量表(GSES)]、自护能力[自我护理能力测定表(ESCA)]、依从性、康复进程。结果 研究组首次排气、进食、下床活动时间及出院时间短于对照组(P<0.05);研究组术前1 d手术接受度高于对照组，干预后SAS、SDS评分低于对照组(P<0.05);干预后研究组GSES、ESCA评分高于对照组(P<0.05);研究组总依从性高于对照组(P<0.05)。结论 保护动机理论结合共同决策的风险管理护理方案可提升老年髋部骨折手术患者手术接受度，减轻患者负性情绪，增强患者自我效能，提高患者自护能力、依从性，促进患者病情改善。更多还原

【Abstract】 Objective To explore the effect of protective motivation theory combined with co-decision risk management nursing program in elderly patients with hip fracture surgery.Methods A total of 104 elderly patients with hip fracture treated in People’s Hospital of Zhengzhou University from October 2022 to October 2023 were selected and divided into study group and control group by random number table method, with 52 cases in each group. The control group received routine nursing intervention, while the research group was given protective motivation theory combined with joint decision risk management nursing program on the basis of the control group. Both groups were intervened until the patients were discharged from hospital. Preoperative acceptance and post-intervention mental state [self-rating anxiety scale(SAS), self-rating depression scale(SDS)], self-efficacy [self-efficacy scale(GSES)], self-care ability [self-care ability scale(ESCA)], compliance, rehabilitation process were compared between the two groups.Results The first exhaust, eating, getting out of bed, and discharge time of the research group were shorter than those of the control group(P<0.05). The acceptance of surgery in the research group on the day before surgery was higher than that of the control group, and the SAS and SDS scores after intervention were lower than those of the control group(P<0.05). After intervention, the GSES and ESCA scores of the research group were higher than those of the control group(P<0.05). The total compliance of the research group was higher than that of the control group.Conclusion The protective motivation theory combined with the risk management nursing plan of joint decision can improve the surgical acceptance of elderly patients with hip fracture surgery, reduce the negative emotions of patients, enhance the self-efficacy of patients, improve the self-care ability and compliance of patients, and promote the improvement of patients’ condition.更多还原