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全髋关节或膝关节置换术后患者使用基于移动应用程序的康复计划的体验:一项定性描述性研究。

Patients' experiences of using a mobile application-based rehabilitation programme after total hip or knee arthroplasty: a qualitative descriptive study.

作者信息

Wang Qingling, Lee Regina Lai-Tong, Hunter Sharyn, 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, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, Newcastle, NSW, Australia.

出版信息

BMC Nurs. 2023 Jul 27;22(1):246. doi: 10.1186/s12912-023-01409-3.

Abstract

BACKGROUND

An increasing number of patients are discharged from a total hip or knee arthroplasty with a short length of hospital stay. Technologies, such as mobile applications, are used to provide remote support to patients' postoperative rehabilitation. Patients' experiences of receiving mobile application-based rehabilitation after total hip or knee arthroplasty have not been investigated extensively.

METHODS

This was a qualitative descriptive study. Twenty-five participants who had completed a mobile application-based rehabilitation programme for total hip or knee arthroplasty were recruited. Semi-structured interviews were conducted via telephone between July 2021 and January 2022 regarding the participants' experiences using the programme. All interviews were audio-recorded and verbatim transcribed. Data were analysed using inductive content analysis. The reporting of this study followed the Consolidated Criteria for Reporting Qualitative Research.

RESULTS

Data analysis revealed five categories: (a) improved access to health care, (b) encouraged postoperative recovery, (c) established supportive relationships, (d) facilitated learning, and (e) future directions.

CONCLUSION

The theory-underpinned mobile application-based rehabilitation programme demonstrated potential value in supporting patients' rehabilitation after arthroplasty. Nurses can consider using mobile technologies to expand their role in arthroplasty rehabilitation and improve the quality of rehabilitation care.

摘要

背景

越来越多接受全髋关节或膝关节置换术的患者在短住院时间后出院。诸如移动应用程序等技术被用于为患者的术后康复提供远程支持。全髋关节或膝关节置换术后患者接受基于移动应用程序的康复的体验尚未得到广泛研究。

方法

这是一项定性描述性研究。招募了25名完成了基于移动应用程序的全髋关节或膝关节置换术康复计划的参与者。在2021年7月至2022年1月期间通过电话进行了半结构化访谈,了解参与者使用该计划的体验。所有访谈均进行了录音并逐字转录。使用归纳性内容分析法对数据进行分析。本研究的报告遵循定性研究报告的综合标准。

结果

数据分析揭示了五个类别:(a)改善医疗服务可及性,(b)鼓励术后恢复,(c)建立支持性的关系,(d)促进学习,以及(e)未来方向。

结论

基于理论的基于移动应用程序的康复计划在支持关节置换术后患者的康复方面显示出潜在价值。护士可以考虑使用移动技术来扩大他们在关节置换术康复中的作用,并提高康复护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7def/10373373/bf6b76c14cb5/12912_2023_1409_Fig1_HTML.jpg

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