【摘要】 目的 构建全膝关节置换术患者健康素养干预方案，并验证其应用效果。方法 通过文献回顾、半结构化访谈及德尔菲法，构建健康素养干预方案。采用便利抽样法，选取河北省某三级甲等医院关节科住院行全膝关节置换术且健康素养不足的患者为研究对象，按病区进行分组，试验组（n=33）接受健康素养干预方案，对照组（n=33）接受常规健康教育。比较两组出院后4周健康素养水平、功能锻炼依从性、膝关节功能及膝关节主动活动度。结果干预后试验组健康素养评分、功能锻炼依从性评分、膝关节功能评分及膝关节主动活动度均高于对照组（P<0.05）。结论 健康素养干预方案具有较高的科学性和可行性，可以提升全膝关节置换术患者的健康素养水平、提高其功能锻炼依从性及康复效果。更多还原

【Abstract】 Objective To construct a health literacy education program for total knee arthroplasty patients and examin its application effect. Methods Through literature review,semi-structured interviews and Delphi method,a health literacy education program was developed. The convenience sampling method was used to select patients who underwent total knee arthroplasty in the joint department of a tertiary hospital in Hebei Province and had insufficient health literacy. The experimental group(n=33) received protocol-based health literacy education,while the control group(n=33) received routine health education. The health literacy level,functional exercise compliance,knee function and knee active range of motion were compared between the two groups at 4-week time after discharge. Results After intervention,the health literacy score,functional exercise compliance score,knee function score and knee active range of motion in the experimental group were all higher than those in the control group(P <0.05). Conclusion The health literacy education program is scientific and feasible,which can improve the health literacy level of patients undergoing total knee arthroplasty,enhance the compliance with functional exercises and the rehabilitation effect.更多还原