Construction and application of a home rehabilitation program for patients with rib fractures based on empowerment theory
10.3760/cma.j.cn115682-20250121-00357
- VernacularTitle:基于赋权理论的肋骨骨折患者居家康复方案的构建与应用
- Author:
Wenyi ZHU
1
;
Mengwei LI
1
;
Chunquan LIU
1
Author Information
1. 首都医科大学附属北京友谊医院胸心血管外科，北京 101125
- Publication Type:Journal Article
- Keywords:
Rib fractures;
Home rehabilitation;
Empowerment theory;
Family nursing
- From:
Chinese Journal of Modern Nursing
2025;31(33):4544-4552
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a home rehabilitation program for patients with rib fractures based on empowerment theory and to evaluate its application effects.Methods:Literature related to rehabilitation of rib fracture patients published between June 2013 and May 2023 was systematically retrieved. After literature screening, clinical investigation, and expert consultation, the final version of the home rehabilitation program based on empowerment theory was developed. A total of 102 rib fracture patients discharged from the Department of Thoracic and Cardiovascular Surgery, Beijing Friendship Hospital, Capital Medical University, between October 2023 and June 2024 were selected as research subjects. According to discharge sequence, 52 patients were assigned to the observation group and 50 patients to the control group. The control group received routine health education and discharge follow-up, while the observation group received the empowerment theory-based home rehabilitation program. Pain levels, pulmonary function [forced vital capacity (FVC) , forced expiratory volume in 1 second (FEV1) ] , and exercise compliance were assessed at discharge and at 2, 4, 8, and 12 weeks post-discharge. Complication incidence and readmission rates were recorded and compared at 12 weeks after discharge.Results:At 4, 8, and 12 weeks post-discharge, pain scores in the observation group were lower than those in the control group, whereas FVC and FEV1 were higher; the differences were all statistically significant ( P<0.05) . At 12 weeks post-discharge, the incidence of complications and unplanned readmission rates in the observation group were lower than those in the control group, the exercise compliance score was higher, and the differences were all statistically significant ( P<0.05) . Conclusions:The home rehabilitation program for rib fracture patients constructed based on empowerment theory can reduce pain during home rehabilitation, promote recovery of pulmonary function, improve exercise compliance, and decrease the incidence of complications and unplanned readmissions.
