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关节置换术后患者对通过移动应用程序提供的康复服务的需求:一项定性研究。

Patients' needs regarding rehabilitation services delivered via mobile applications after arthroplasty: A qualitative study.

作者信息

Wang Qingling, Hunter Sharyn, Lee Regina Lai-Tong, Wang Xiaofeng, Chan Sally Wai-Chi

机构信息

School of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai, China.

School of Nursing and Midwifery, The University of Newcastle, Callaghan, New South Wales, Australia.

出版信息

J Clin Nurs. 2022 Nov;31(21-22):3178-3189. doi: 10.1111/jocn.16152. Epub 2021 Dec 2.

Abstract

AIMS AND OBJECTIVES

To obtain an in-depth understanding of the specific needs of patients for rehabilitation services delivered via mobile applications after total hip or knee arthroplasty.

BACKGROUND

Due to increased demand for arthroplasty, the provision of face-to-face rehabilitation services for patients is becoming challenging. New approaches using digital technologies are being developed, such as mobile applications to deliver rehabilitation services. However, the perspectives of patients on the delivery of these services via mobile applications after total hip or knee arthroplasty have not been explored extensively.

DESIGN

A qualitative descriptive study.

METHODS

Twenty patients who had been discharged from the hospital after a total hip or knee arthroplasty were interviewed via telephone about their needs regarding the future use of mobile applications to conduct arthroplasty rehabilitation. Interview records were transcribed verbatim and analysed using inductive content analysis. Reporting of the findings complies with the COREQ checklist for qualitative studies.

RESULTS

Four categories emerged from the data collected from the participants: (1) assisting rehabilitation self-management, (2) facilitating peer support, (3) facilitating contact with healthcare professionals and (4) supporting emotional well-being.

CONCLUSIONS

The study provided an in-depth understanding of the specific needs of patients for rehabilitation services delivered via mobile applications after total hip or knee arthroplasty. The findings of the study could be used in the development or revision of mobile application rehabilitation programmes to better support the rehabilitation of patients. Future studies are needed to evaluate the effectiveness of such programmes, especially including the self-efficacy of patients as an outcome measure.

RELEVANCE TO CLINICAL PRACTICE

From the perspective of patients who have undergone arthroplasty, a mobile application rehabilitation programme should encourage patients in rehabilitation self-management, assist them to contact healthcare professionals and other patients and support their postoperative emotional well-being. The study findings will assist nurses with the preparation and delivery of telerehabilitation programmes after arthroplasty.

摘要

目的

深入了解全髋关节或膝关节置换术后患者对通过移动应用程序提供的康复服务的具体需求。

背景

由于关节置换术需求增加,为患者提供面对面的康复服务变得具有挑战性。正在开发使用数字技术的新方法,例如通过移动应用程序提供康复服务。然而,对于全髋关节或膝关节置换术后通过移动应用程序提供这些服务,患者的看法尚未得到广泛探讨。

设计

一项定性描述性研究。

方法

对20名全髋关节或膝关节置换术后出院的患者进行电话访谈,了解他们对未来使用移动应用程序进行关节置换康复的需求。访谈记录逐字转录,并采用归纳式内容分析法进行分析。研究结果的报告符合定性研究的COREQ清单。

结果

从参与者收集的数据中得出四类:(1)协助康复自我管理,(2)促进同伴支持,(3)促进与医疗保健专业人员的联系,(4)支持情绪健康。

结论

该研究深入了解了全髋关节或膝关节置换术后患者对通过移动应用程序提供的康复服务的具体需求。该研究结果可用于开发或修订移动应用程序康复计划,以更好地支持患者的康复。未来需要进行研究以评估此类计划的有效性,特别是将患者的自我效能作为一项结果指标。

与临床实践的相关性

从接受关节置换术的患者角度来看,移动应用程序康复计划应鼓励患者进行康复自我管理,帮助他们联系医疗保健专业人员和其他患者,并支持他们术后的情绪健康。研究结果将有助于护士在关节置换术后准备和提供远程康复计划。

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