全膝关节置换术后影响出院准备情况的因素

Factors Influencing Discharge Readiness After Total Knee Replacement.

作者信息

Causey-Upton Renee, Howell Dana M, Kitzman Patrick H, Custer Melba G, Dressler Emily V

机构信息

Renee Causey-Upton, PhD, OTD, MS, OTR/L, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond. Dana M. Howell, PhD, OTD, OTR/L, FAOTA, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond. Patrick H. Kitzman, PhD, PT, Department of Physical Therapy and Rehabilitation Sciences, University of Kentucky, Lexington. Melba G. Custer, PhD, OT/L, Occupational Therapy Department, Spalding University, Louisville, KY. Emily V. Dressler, PhD, Department of Biostatistical Sciences, Wake Forest University, Winston-Salem, NC.

出版信息

Orthop Nurs. 2019 Jan/Feb;38(1):6-14. doi: 10.1097/NOR.0000000000000513.

DOI:10.1097/NOR.0000000000000513

PMID:30676569

Abstract

Total knee replacement (TKR) surgery has been found to achieve positive outcomes for many patients such as reduced pain and increased function. However, some patients experience suboptimal outcomes including falls, readmission to hospital, and reduced functional performance. Preparation for discharge after TKR surgery is often defined related to pain control, walking, knee function, and ability to climb stairs. These measures may not fully encompass aspects of recovery that impact patients' readiness for discharge after surgery. The purpose of this article is to review discharge readiness following TKR surgery and discuss factors that are known to impact preparedness for discharge.

摘要

全膝关节置换术（TKR）已被发现能为许多患者带来积极效果，如减轻疼痛和增强功能。然而，一些患者的治疗效果并不理想，包括跌倒、再次入院以及功能表现下降。TKR手术后出院准备工作通常与疼痛控制、行走、膝关节功能以及爬楼梯能力有关。这些措施可能无法完全涵盖影响患者术后出院准备的康复方面。本文旨在回顾TKR手术后的出院准备情况，并讨论已知会影响出院准备的因素。