一项关于新型围手术期实践模式对关节置换术患者焦虑及健康相关生活质量影响的随机临床试验。
A randomized clinical trial of a new perioperative practice model on anxiety and health-related quality of life in arthroplasty patients.
作者信息
Pulkkinen Maria, Jousela Irma, Sintonen Harri, Engblom Janne, Salanterä Sanna, Junttila Kristiina
机构信息
Helsinki University Hospital, Helsinki University, Helsinki, Finland.
Department of Nursing Science, University of Turku, Turku, Finland.
出版信息
Nurs Open. 2021 Jul;8(4):1593-1605. doi: 10.1002/nop2.776. Epub 2021 Feb 12.
AIMS
To explore the effectiveness of a new perioperative practice model on anxiety and health-related quality of life in patients undergoing total hip arthroplasty and total knee arthroplasty under spinal anaesthesia.
DESIGN
A randomized clinical trial.
METHODS
Control group participants (N = 222) received standard perioperative care, meaning they were cared for by various nurses during their perioperative process without postoperative visits. Intervention group participants (N = 231) were assigned one named anaesthesia nurse during their entire perioperative process who visited them postoperatively. Both groups responded to two self-reported questionnaires: the generic 15D health-related quality of life instrument and the State-Trait Anxiety Inventory (STAI) measuring anxiety two to three weeks pre-operatively and three months postoperatively.
RESULTS
There were no statistically significant differences between the groups at baseline or at follow-up in health-related quality of life or anxiety.
目的
探讨一种新的围手术期实践模式对在脊髓麻醉下接受全髋关节置换术和全膝关节置换术患者的焦虑及健康相关生活质量的影响。
设计
一项随机临床试验。
方法
对照组参与者（N = 222）接受标准围手术期护理，即在围手术期由不同护士护理，术后无访视。干预组参与者（N = 231）在整个围手术期被分配一名指定的麻醉护士，该护士术后对其进行访视。两组均对两份自我报告问卷做出回应：通用的15D健康相关生活质量量表以及在术前两至三周和术后三个月测量焦虑的状态-特质焦虑量表（STAI）。
结果
在基线或随访时，两组在健康相关生活质量或焦虑方面无统计学显著差异。
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