杨津津

【摘要】 目的：探討聚焦解决模式联合运动干预对老年骨质疏松性骨折患者应对方式、自我效能的影响。方法：应用随机表法将笔者所在医院2018年2-9月收治的80例老年骨质疏松性骨折患者分为观察组和对照组，每组40例。对照组给予运动干预，观察组给予聚焦解决模式联合运动干预。两组均在干预3个月内记录患者应对方式情况，评价患者焦虑、抑郁情况和自我效能感。结果：干预后两组应对积极性均高于干预前，且观察组高于对照组，差异均有统计学意义（P<0.05）;干预后两组焦虑、抑郁评分均低于干预前，且观察组低于对照组，差异均有统计学意义（P<0.05）;干预后两组自我效能感评分均高于干预前，且观察组高于对照组，差异均有统计学意义（P<0.05）。结论：聚焦解决模式联合运动干预对老年骨质疏松性骨折患者应对方式和自我效能均具有促进效应。

【关键词】 聚焦解决模式; 运动干预; 老年骨质疏松性骨折; 应对方式; 自我效能

doi：10.14033/j.cnki.cfmr.2019.27.076 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Effects of Solution-focused Approach Combined with Exercise Intervention on Coping Styles and Self-efficacy in Elderly Patients with Osteoporotic Fractures/YANG Jinjin.//Chinese and Foreign Medical Research，2019，17（27）：-178

【Abstract】 Objective：To explore the effects of solution-focused approach combined with exercise intervention on coping styles and self-efficacy in elderly patients with osteoporotic fractures.Method：A total of 80 elderly patients with osteoporotic fractures from February 2018 to September 2018 in our hospital were divided into observation group and control group according to the random number table method，with 40 cases in each group.The control group was given exercise intervention，and the observation group was given solution-focused approach combined with exercise intervention.The coping styles of patients were recorded in the two groups within 3 months of intervention，and the anxiety，depression and self-efficacy were evaluated.Result：After intervention，the coping enthusiasm of the two groups was higher than that before intervention，and the observation group was higher than the control group，the differences were statistically significant（P<0.05）.The scores of anxiety and depression after intervention were lower than those before intervention，and the observation group was lower than that of the control group，the differences were statistically significant（P<0.05）.After the intervention，the self-efficacy scores of the two groups were higher than those of the control group，and the observation group was higher than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：Solution-focused approach combined with exercise intervention has positive effects on coping styles and self-efficacy in elderly patients with osteoporotic fractures.

【Key words】 Solution-focused approach; Exercise intervention; Elderly osteoporotic fractures; Coping styles; Self-efficacy

First-authors address：Traditional Chinese Medicine Hospital in Xiantao，Xiantao 433000，China

随着社会的不断发展，人口出生率的逐渐下降，人口老龄化程度不断加重，骨质疏松已经成为临床骨科的常见病和多发病之一。老年人群是此病的高危人群，患者在发病后进行常规治疗，但骨质疏松症状依然反复。骨质疏松的特征表现为骨量的减少、骨组织的微结构退化和骨骼的脆性增加，可表现为全身骨组织结构功能改变的一种慢性代谢性疾病[1-3]。骨质疏松引发的骨折是骨质疏松最严重的并发症之一，罹患骨质疏松性骨折严重威胁到居民的生命安全，降低患者生存质量，甚至带给患者沉重的经济、心理负担。临床采用促进骨愈合药物进行常规治疗，也对患者进行相关的临床护理和心理干预以达到促进治疗老年骨质疏松性骨折的目的[4]。本研究分析聚焦解决模式联合运动干预对老年骨质疏松性骨折患者应对方式、自我效能的影响，具体如下。……