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全髋关节和膝关节置换术后患者的出院信息需求:一项准定性试点研究。

Patients' discharge information needs after total hip and knee arthroplasty: a quasi-qualitative pilot study.

作者信息

Şendir Merdiye, Büyükyılmaz Funda, Muşovi Duygu

机构信息

Florence Nightingale Faculty of Nursing, Istanbul University, Istanbul, Turkey.

出版信息

Rehabil Nurs. 2013 Sep-Oct;38(5):264-71. doi: 10.1002/rnj.103. Epub 2013 May 29.

Abstract

PURPOSE

Discharge information needs are known to be common problems for total hip and knee arthroplasty (THA, TKA) patients due to surgical and technological developments of arthroplasty, treatment procedures, and reducing the duration of hospitalization. The purpose of this study is to collect individual interviews about information needs of patients who have had THA or TKA for the first time.

DESIGN/METHODS: This quasi-qualitative study was conducted in orthopedic wards of a university hospital in Turkey. Descriptive data were collected using a Patient Information Form and the Patient Learning Needs Scale (PLNS). Individual interviews data were collected by open-ended questions related to PLNS subscales 24-48 hours before discharge.

FINDINGS

The mean age of the 37 patients studied was 64.97 ± 13.66, 70.3% were female, 56.8% had THA for the first time. Similar to individual interviews, the patients reported that the most important learning needs were about treatment and complications, activities of living, and enhancing quality of life. In addition, patient's age had a significant impact on PLNS scores.

CONCLUSIONS

This study sought to determine Turkish THA or TKA patients' priority of learning needs on discharge.

CLINICAL RELEVANCE

After an evaluation of the conclusions, healthcare professionals can contribute to the development of scheduling programs for patients who are discharged following THA or TKA surgical procedures.

摘要

目的

由于关节置换术的手术和技术发展、治疗程序以及住院时间的缩短,出院信息需求是全髋关节置换术(THA)和全膝关节置换术(TKA)患者常见的问题。本研究的目的是收集首次接受THA或TKA患者信息需求的个人访谈。

设计/方法:这项准定性研究在土耳其一家大学医院的骨科病房进行。使用患者信息表和患者学习需求量表(PLNS)收集描述性数据。在出院前24至48小时,通过与PLNS子量表相关的开放式问题收集个人访谈数据。

结果

研究的37名患者的平均年龄为64.97±13.66岁,70.3%为女性,56.8%首次接受THA。与个人访谈相似,患者报告称最重要的学习需求是关于治疗和并发症、生活活动以及提高生活质量。此外,患者年龄对PLNS评分有显著影响。

结论

本研究旨在确定土耳其THA或TKA患者出院时学习需求的优先级。

临床意义

在对结论进行评估后,医疗保健专业人员可以为THA或TKA手术后出院患者的日程安排计划的制定做出贡献。

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