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确定影响膝关节和髋关节置换术后患者早期活动的因素。

Determination of Factors Affecting Early Mobilization of Patients Who Have Undergone Knee and Hip Arthroplasty.

机构信息

Institute of Health Science, Bursa Uludag University, Bursa, Turkey.

Department of Health Science and Surgical Nursing, Bursa Uludag University, Bursa, Turkey.

出版信息

J Perianesth Nurs. 2022 Oct;37(5):646-653. doi: 10.1016/j.jopan.2021.10.013. Epub 2022 May 4.

Abstract

PURPOSE

This study was conducted in order to determine the factors that affected the early mobilization after surgery of patients who had undergone knee and hip arthroplasty.

DESIGN

This study is descriptive correlational.

METHODS

The study population consists patients who met the inclusion criteria and were hospitalized in a State Hospital Orthopedics and Traumatology Clinic in Turkey in order have the knee or hip arthroplasty surgery between the dates of November 7, 2017 and September 21, 2018. While selecting the sample, the purposive sampling method was used. The sample consists of 60 patients who were in the universe of the study, who meet the inclusion criteria and who voluntarily agreed to participate in the study.

FINDINGS

The mean time of the first mobilization of the patients was 19 (9.15-72) hours. There were statistically significant relationships between mobilization time and age, gender, marital status, body mass index, past surgical history, chronic pain, blood transfusion before surgery, medical diagnosis, surgical procedure, bone cement usage, the score for American society of Anesthesiologists, surgical intervention time, post-operation nutrition, and defecation time.

CONCLUSION

The early mobilization time of the great majority of the patients who underwent knee and hip arthroplasty was in conformity with the enhanced recovery after surgery protocol.

摘要

目的

本研究旨在确定影响膝关节和髋关节置换术后患者早期活动的因素。

设计

本研究为描述性相关性研究。

方法

研究人群包括符合纳入标准并于 2017 年 11 月 7 日至 2018 年 9 月 21 日期间在土耳其一家州立医院骨科和创伤科住院的患者。在选择样本时,使用了目的抽样法。样本由 60 名符合纳入标准且自愿参加研究的患者组成,他们是研究总体的一部分。

结果

患者首次活动的平均时间为 19(9.15-72)小时。活动时间与年龄、性别、婚姻状况、体重指数、既往手术史、慢性疼痛、术前输血、医学诊断、手术程序、骨水泥使用、美国麻醉师协会评分、手术干预时间、术后营养和排便时间之间存在统计学显著关系。

结论

接受膝关节和髋关节置换术的大多数患者的早期活动时间符合术后加速康复方案。

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