全膝关节置换术患者随访护理需求现状及影响因素分析  

Analysis of the status quo and influencing factors of follow-up nursing requirements of patients with total knee arthroplasty

作　　者：房晓 苏晴晴 李海燕[2] 王田田 张瑶瑶 李琪 Fang Xiao;Su Qingqing;Li Haiyan;Wang Tiantian;Zhang Yaoyao;Li Qi(School of Nursing,Qingdao University,Qingdao 266000,China;Department of Joint Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学护理学院,266000 [2]青岛大学附属医院关节外科,青岛266000

出　　处：《中华现代护理杂志》2021年第16期2209-2214,共6页Chinese Journal of Modern Nursing

摘　　要：目的:了解全膝关节置换术患者出院后随访护理需求现状,并分析其影响因素。方法:采用便利抽样法,选取2019年4—8月在青岛市某三级甲等医院关节外科行全膝关节置换术的270例患者为研究对象。采用自行设计的随访护理需求问卷、美国特种外科医院膝关节评分、一般自我效能量表调查全膝关节置换患者术后随访护理需求情况,采用多重线性回归法分析其影响因素。结果:最终回收有效问卷268份。268例全膝关节置换术患者的随访护理需求得分为(56.18±8.35)分,得分最高的维度是功能锻炼需求维度,为(3.85±0.75)分;患者最希望接受的随访护理形式为网络随访(52.6%,141/268)。多重线性回归分析显示,文化程度、居住情况、康复知识了解情况、膝关节功能状况、自我效能是全膝关节置换术患者随访护理需求的独立影响因素(P<0.05)。结论:全膝关节置换术患者对出院后的随访护理需求较强烈,建议临床医护人员通过互联网技术对膝关节置换患者进行形式多样、具有个性化的随访护理。Objective To understand the current status of follow-up care needs of patients undergoing total knee arthroplasty after discharge,and analyze the influencing factors of follow-up care needs.Methods A total of 270 patients who underwent total knee arthroplasty in the Department of Joint Surgery of a ClassⅢGrade A hospital in Qingdao from April to August 2019 were selected by convenience sampling method.All the patients were investigated for nursing demands by a self-designed follow-up nursing demand questionnaire,Hospital for Special Surgery Scale(HSS)and General Self-Efficacy Scale(GSES).The influencing factors were analyzed by multiple linear regression.Results Finally,268 valid questionnaires were collected.The score for follow-up nursing needs of 268 patients undergoing total knee arthroplasty was(56.18±8.35),and the dimension with the highest score was functional exercise requirement,with a score of(3.85±0.75).The most desirable form of follow-up care was network follow-up(52.6%,141/268).Multiple linear regression analysis showed that education,living conditions,rehabilitation knowledge,knee function and self-efficacy were the independent influencing factors of follow-up nursing needs of patients with total knee arthroplasty(P<0.05).Conclusions Patients with total knee arthroplasty have a strong demand for follow-up care after discharge.It is recommended that medical staff shall carry out various and personalized follow-up care for knee arthroplasty patients through the application of Internet technology.

关 键 词：关节成形术 置换 膝 随访 需求 现状调查 延续护理 

分 类 号：R473.6[医药卫生—护理学]