Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China.
Bone Necrosis and Joint Preservation Reconstruction Center, China-Japan Friendship Hospital, Beijing, China.
J Orthop Surg Res. 2020 Jan 29;15(1):31. doi: 10.1186/s13018-020-1561-7.
Total joint arthroplasty is a mature and effective treatment for end-stage osteoarthritis. Assisting patients in completing the transition of the perioperative period and improving their satisfaction are important aspects of quality of care. This study aimed to investigate an intervention to improve the quality of care transition for joint arthroplasty patients informed by the knowledge-to-action (KTA) framework.
In this quasi-experimental study, a total of 160 patients who underwent joint arthroplasty at a tertiary hospital from September to November 2018 and January to March 2019 were selected as participants using convenience sampling. The control group received routine medical care, while the observation group received medical care based on the KTA framework. Transitional care quality was assessed by the Care Transition Measure (CTM), with follow-up 1 week after discharge.
The observation group fared significantly better than the control group on general self-care preparation and written plan dimensions, as well as the quality of care transition. There was no significant difference in doctor-patient communication or health monitoring.
The KTA framework provides a logical, valuable tool for clinical work. Using the KTA framework for joint arthroplasty patients helps to improve the quality of care transition, which is worth promoting.
全关节置换术是治疗终末期骨关节炎的一种成熟且有效的方法。帮助患者完成围手术期的过渡并提高其满意度是护理质量的重要方面。本研究旨在探讨一种基于知识转化行动（KTA）框架的干预措施，以改善关节置换患者的护理过渡质量。
本准实验研究采用便利抽样法，选取 2018 年 9 月至 11 月和 2019 年 1 月至 3 月在一家三级医院接受关节置换术的 160 名患者作为研究对象。对照组接受常规医疗护理，观察组则在 KTA 框架下接受医疗护理。采用过渡期护理测量工具（CTM）评估过渡期护理质量，出院后 1 周进行随访。
观察组在一般自我护理准备和书面计划维度以及护理过渡质量方面的表现明显优于对照组，而在医患沟通或健康监测方面则无显著差异。
KTA 框架为临床工作提供了一个逻辑合理、有价值的工具。将 KTA 框架应用于关节置换患者有助于提高护理过渡质量，值得推广。
