人工关节置换患者出院后延续护理需求的调查  

Survey research on the demands of continuing nursing for discharged patients after joint arthroplasty

作　　者：沈研[1] 苏琳[2] 宋俊雷[1] 王蔚[1] 

机构地区：[1] 解放军总医院骨科,北京100853 [2] 航天中心医院重症医学科,北京100049

出　　处：《中华现代护理杂志》2014年第32期4089-4092,共4页Chinese Journal of Modern Nursing

基　　金：解放军总医院护理部立项课题（2012YH07）

摘　　要：目的：了解人工关节置换术患者出院后对延续护理的需求，为构建骨科术后延续护理服务体系提供参考。方法随机抽取某军队三级甲等医院骨科关节置换术患者200例，出院前采用自行设计的延续护理需求调查问卷进行调查。结果护理指导内容排在前3位的为下床时间98．0％、平衡训练94．0％、康复流程93．0％；延续护理形式排在前3位的为健康教育手册100．0％、网上咨询90．0％、热线电话82．0％；61．0％的患者认为出院2个月内需要得到每周1次的专业指导，出院3个月后需要得到2周1次的专业指导。结论人工关节置换患者术后对延续护理服务有较高的需求，护理人员应在规范院内健康教育的基础上加强出院后的康复指导，避免患者从医院到家庭出现的医疗护理脱节。以此达到促进肢体正常功能恢复，提高患者生活质量的目的。Objective To explore the demands of continuing nursing care for discharged patients after artificial joint replacement and to improve the continuing nursing service system for orthopaedics patients post operation.Methods Randomly chose 200 discharged arthroplasty patients from department of orthopaedics in a Certain3-Grade-A Integrate hospital as the subjects, and they were investigated with the self-designed questionnaire on continuing nursing service needing.Results Among 200 patients, bed time （98.0%）, balance training （94.0%） and rehabilitation processes （93.0%） were the important contents of extended care. Health education（100.0%）, online counseling（90.0%） and telephone hotline（82.0%） were main forms of extended care.And 61.0% of patients want to get professional guidance once a week in first 2 months discharge, and once two weeks in 3 months discharge.Conclusions Discharged patients after artificial joint replacement have high demand of continued nursing care.Nursing staff should support patients not only satisfactory health education in hospital but also relevant rehabilitation guidance after being discharged in order to promote to recovery and improve their life quality.

关 键 词：延续护理 人工关节置换术 护理需求 

分 类 号：R473.6[医药卫生—护理学]