CÁC YẾU TỐ ẢNH HƯỞNG ĐẾN Ý ĐỊNH VẬN ĐỘNG SỚM TRÊN NGƯỜI BỆNH SAU PHẪU THUẬT CỐ ĐỊNH CỐT SỐNG THẮT LƯNG

Abstract

Objective: To identify factors influencing the intention in early mobilization among patients after lumbar spinal fusion surgery, based on the Theory of Planned Behavior (TPB). Subjects and Methods: A descriptive study was conducted on 104 patients who underwent lumbar spinal fusion surgery at Department of Neurosurgery, University Medical Center at Ho Chi Minh City from 09/2024 to 05/2025. A questionnaire was used to survey factors affecting the intention of early mobilization post-surgery, including demographic factors, attitude, subjective norms, perceived behavioral control, and belief-related factors. Data was analyzed using Stata 17.0. Results: Patients showed a positive attitude, many supporters- subjective norms, low perceived behavioral control and moderate intention. Multivariate regression analysis indicated that attitude (β = 0.33; p < 0.001) and perceived behavioral control (β = 0.59; p < 0.001) significantly influenced the intention to mobilize early, while subjective norms were not statistically significant (p > 0.05). The model explained 65% of the variance in intention. Additionally, positive behavioral beliefs, normative beliefs, and control beliefs showed significant correlations with the intention to mobilize early after surgery. Conclusion: The intention for early mobilization after lumbar spinal lumbar surgery is strongly influenced by a positive attitude and perceived behavioral control. Reinforcing positive beliefs about the benefits of mobilization, providing skill support, and reducing barriers can enhance patients' intention to engage in early mobilization.