Faculty of Health Sciences, School of Nursing, Hasan Kalyoncu University, Gaziantep, Turkey.
Faculty of Health Sciences, School of Nursing, Hatay Mustafa Kemal University, Antakya, Turkey.
Int J Nurs Pract. 2024 Dec;30(6):e13283. doi: 10.1111/ijn.13283. Epub 2024 Jul 11.
This study has aimed to assess the effectiveness of the transitional care model (TCM) on functional status, perceived self-efficacy and healthcare utilization in patients undergoing total knee arthroplasty (TKA).
This randomized controlled study was conducted between February and November 2021 in a public hospital. The study randomly assigned patients to either a 6-week 'TCM' program or usual care. The sample size was n = 70, with each group comprising 35 individuals. Patient outcomes, including self-efficacy, functional status and healthcare service readmission rates, were monitored for TKA patients.
Nursing care based on the 'TCM' was found to enhance functional status and increase the level of self-efficacy among TKA patients, leading to a decrease in healthcare service readmissions.
The study recommends preparing patients and their families for the preoperative and postoperative processes. It emphasizes the importance of providing necessary training and consultancy services under the leadership of orthopaedic nurses responsible for TKA patient care, guided by the principles of TCM.
本研究旨在评估过渡护理模式（TCM）对全膝关节置换术（TKA）患者功能状态、自我效能感和医疗保健利用的影响。
本随机对照研究于 2021 年 2 月至 11 月在一家公立医院进行。研究将患者随机分配至为期 6 周的“TCM”计划或常规护理。样本量为 n=70，每组 35 人。监测 TKA 患者的自我效能、功能状态和医疗服务再入院率等患者结局。
基于“TCM”的护理可提高 TKA 患者的功能状态和自我效能感，降低医疗服务再入院率。
该研究建议为患者及其家属做好术前和术后准备。它强调了在负责 TKA 患者护理的骨科护士的领导下，根据 TCM 原则，为患者提供必要的培训和咨询服务的重要性。
