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积极生活:关节置换术后安全的医院-社区过渡项目。

Active Life: a project for a safe hospital-community transition after arthroplasty.

作者信息

Ferreira Edite Maria, Lourenço Otília Mendes, Costa Paula Vasques da, Pinto Sónia Cristina, Gomes Cidália, Oliveira Ana Paula, Ferreira Óscar, Baixinho Cristina Lavareda

机构信息

ACES Lezíria, UCC Salvaterra de Magos. Salvaterra de Magos, Portugal.

Hospital de Vila Franca de Xira. Vila Franca de Xira, Portugal.

出版信息

Rev Bras Enferm. 2019 Jan-Feb;72(1):147-153. doi: 10.1590/0034-7167-2018-0615.

Abstract

OBJECTIVE

To define the criteria for the continuity of care to elderly people submitted to arthroplasty.

METHOD

This is a qualitative study, inserted in the constructivist paradigm, whose methodological option fell on research-action. The participants were the health professionals of an orthopedic service and of the community care teams in the area of the hospital.

RESULTS

The different techniques allowed us to identify the difficulties in the safe transition from the hospital to the community. At this level, two categories of criteria for continuity of care emerged: criteria associated with the risk of ineffective management of the therapeutic regimen, and criteria associated with the knowledge and level of competence of the informal caregiver.

FINAL CONSIDERATIONS

An elderly person undergoing arthroplasty (hip or knee) has functional alterations that affect their capacity for self-care and may lead to dependence, our findings allowed the design of an algorithm to facilitate clinical decision making and promote a safe hospital-community transition.

摘要

目的

确定接受关节置换术的老年人连续性护理的标准。

方法

这是一项定性研究,属于建构主义范式,其方法选择为行动研究。参与者是骨科服务部门以及医院所在地区社区护理团队的卫生专业人员。

结果

不同技术使我们能够识别从医院到社区安全过渡中的困难。在此层面,出现了两类连续性护理标准:与治疗方案管理无效风险相关的标准,以及与非正式照料者的知识和能力水平相关的标准。

最终思考

接受关节置换术(髋关节或膝关节)的老年人存在功能改变,这会影响他们的自我护理能力并可能导致依赖,我们的研究结果有助于设计一种算法,以促进临床决策并推动安全的医院-社区过渡。

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