科研之友
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摘要
Aims. Structural equation modelling tested hypothesized causal relationships between age, gender, pain, depression, self-efficacy, outcome expectations, functional status and quality of life in older Australians postorthopaedics surgery across three stages of their rehabilitation. %26lt;br%26gt;Background. Self-efficacy is important in forming personal beliefs about capabilities to perform functional activities, which is believed to maintain individual%26apos;s quality of life. Research examining how efficacy beliefs influence functional status in older people following orthopaedic events is limited. %26lt;br%26gt;Design. A descriptive, longitudinal method was used for this study. %26lt;br%26gt;Methods. A convenience sample of 101 older people with orthopaedic surgery to lower extremities was recruited from private rehabilitation units in Brisbane, Australia. Data were collected from September 2008-November 2009. Standardized questionnaires were used to measure efficacy beliefs, functional status, and quality of life. %26lt;br%26gt;Results. Structural equation modelling revealed that depression, efficacy beliefs, age, and gender significantly influenced quality of life, as self-efficacy and gender have a direct relationship on functional status. Across three stages in the model, outcome expectation at stage 2 was the most significant predictor of functional recovery after discharge. Older men with higher quality of life at admission was positively related to self-efficacy and negatively associated with depression at stage 2: quality of life influenced outcome expectations and pain positively at stage 3. %26lt;br%26gt;Conclusion. Rehabilitation programmes play a significant role in assisting older people in resuming functional activities and quality of life following orthopaedic surgery. Enhancing self-efficacy may facilitate older people%26apos;s participation and adher-ence to rehabilitation programmes during hospitalization and following discharge.
- 出版日期2013-9
