| Objective: We aim to investigate the status of Five-Pattern Personality Inventory(FPPI),self-efficacy and rehabilitation compliance in patients with distal radius fracture(DRF)after removel of cast,explore the correlation between the FPPI,self-efficacy and rehabilitation compliance of patients,and to analyze the main factors affecting the rehabilitation compliance of patients with distal radius fractures.Methods: In this study,119 patients with distal radius fractures who were treated in the outpatient or in-patient treatment of Yunnan hospital of traditional Chinese medicine from October 2018 to December 2019 were selected as the research subjects.Relevant information were investigated by Self-made general data questionnaire,rehabilitation exercise record manual,Five-Pattern Personality Inventory,and self-efficacy scale.All data were input by Excel software,and SPSS21.0 was used for statistical analysis.The main statistical methods included descriptive statistics,t test,analysis of variance,pearson correlation analysis,and multiple linear regression analysis.Result:1.The score of each FPPI dimension(Tai-yang,Shao-yang,Tai-yin,Shao-yin,and Ying-yang-ping-he)of patients with distal radius fracture is 13.13±3.28,11.95±3.97,11.61±4.85,13.87±3.43,and 5.56±1.74,respectively.In comparison with chinese normal group,the FPPI score in the DRF patients is obviously higher in Tai-yin and lower in Yin-yang-ping-he pattern(P<0.05).There is no significant difference between the DRF patients and chinese normal group in the FPPI socres of the other three patterns.2.The general self-efficacy score of patients with DRF was(24.49±5.73),which was lower than that of international group model(29.46±5.33).Group of advanced level in self-efficacy score accounted for 10.92%,group of intermediate level accounted for 47.90%,and group of low level accounted for 41.18%.The self-efficacy of patients with DRF was at a low level.3.According to the 6-week family rehabilitation exercise/follow-up plan,the mean compliance rate of family rehabilitation exercise for patients with DRF was(1.02±0.20)and the mean follow-up attendance was(0.61±0.27).4.Pearson correlation analysis showed that the family rehabilitation exercise compliance in patients with DRF was positively corelated with self-efficacy,and negatively corelated with Tai-yin dimension of FPPI.It has no correlation with the other four dimensions of FPPI.There was no significant correlation of follow-up compliance with self-efficacy and FPPI in patients with distal radius fracture.5.Analyses on the influencing factors of rehabilitation compliance in patients with DRF:(1)The single-factor analysis showed that the compliance rate of family rehabilitation exercise was significantly different between patients with different educational degree,economic income,restoration quality,and the initial pain degree.The results of unconditional logistic regression analysis showed that the initial pain degree,Tai-yin dimension of FPPI,and self-efficacy were important influencing factors of family rehabilitation exercise compliance in patient with DRF.(2)The single-factor analysis showed that the follow-up attendance rate was obviously different in DRF patients with different gender and time to reach treatment destination(P<0.05),and the unconditional logistic regression analysis showed that gender and time to reach treatment destination were important influencing factors for the attendance compliance of patients with DRF.Conclusions:1.The rehabilitation compliance of patients with DRF is generally low and needs to be improved.2.The initial pain degree,Tai-yin dimension of FPPI,and self-efficacy were the influencing factors for the family rehabilitation exercise compliance of patients with DRF,and gender and time to reach treatment destination were the influencing factors for the follow-up compliance of patients with DRF.3.To improve the family rehabilitation exercise compliance of patients with DRF,more clinical interventions are need for DFF patients with Tai-yin dimension of FPPI,high degree of initial pain and low self-efficacy.To improve the follow-up compliance of patients with DRF,more attention and management should be taken for male and patients who needs more time to reach treatment destination. |
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