Haworth R J
Br J Rheumatol. 1983 Feb;22(1):29-35. doi: 10.1093/rheumatology/22.1.29.
The supply and use of aids following total hip replacement was monitored to see why therapists supplied aids and how quickly and why patients stopped using them. Postal questionnaires were sent to 163 patients with unilateral or bilateral osteoarthrosis of the hip or rheumatoid arthritis 2, 6 and 10 weeks after discharge from hospital. Patients had 2.2 aids per person on admission and 5.8 aids per person 2 weeks after discharge. They used 2.3 aids per person 10 weeks after discharge. Improvement in the pattern of walking was the main reason for supplying walking aids, safety for providing bath aids, and pain/insufficient range of movement for supplying dressing and toilet aids. The main reason for discarding aids was that patients could manage without them. Disease group, sex and the presence of other orthopaedic or medical problems influenced the use of aids but these differences were not apparent until 6 weeks after discharge.
对全髋关节置换术后辅助器具的供应及使用情况进行了监测,以了解治疗师提供辅助器具的原因,以及患者停用辅助器具的速度和原因。在患者出院后2周、6周和10周,向163例单侧或双侧髋关节骨关节炎或类风湿关节炎患者邮寄了问卷调查表。患者入院时人均拥有2.2件辅助器具,出院后2周人均拥有5.8件辅助器具。出院后10周,他们人均使用2.3件辅助器具。步行模式的改善是提供助行器的主要原因,安全是提供沐浴辅助器具的原因,而疼痛/活动范围不足是提供穿衣和如厕辅助器具的原因。丢弃辅助器具的主要原因是患者无需辅助器具也能自理。疾病类型、性别以及是否存在其他骨科或内科问题会影响辅助器具的使用,但这些差异直到出院后6周才明显显现。