行动研究法在优化膝关节置换术患者随访中的应用  

Effect of action research method in optimizing follow-up of patients undergoing knee arthroplasty

作　　者：周嘉莉 徐园 朱丽筠 李晓芸 曹晶[2] 杨旭 Zhou Jiali;Xu Yuan;Zhu Liyun;Li Xiaoyun;Cao Jing;Yang Xu(Second Ward of Orthopedics,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Nursing Department,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院骨科二病房,北京100730 [2]中国医学科学院北京协和医院护理部,北京100730

出　　处：《中华现代护理杂志》2023年第17期2326-2329,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨行动研究法在优化膝关节置换术患者随访中的应用效果,为提高随访效率和随访成功率、促进患者康复提供参考。方法2019年8月—2021年8月,采用便利抽样法选取北京协和医院骨科的282例膝关节置换术患者为研究对象,以2019年8—9月进行常规随访的患者作为基线组,并在临床开展3个阶段的随访模式优化,评价平均随访时长、随访成功率和膝关节置换术患者的关节活动度。结果第1、2、3阶段随访流程的平均随访时长差异无统计学意义(P>0.05),随访成功率逐渐升高(P<0.05)。第2、3阶段随访流程中膝关节置换术患者的关节活动度优于第1阶段和基线组,差异有统计学意义(P<0.05)。结论本研究基于行动研究法优化了膝关节置换术患者的随访模式,提高了随访效率及随访质量。Objective To explore the effect of action research method in optimizing follow-up of patients undergoing knee arthroplasty,so as to provide reference for improving follow-up efficiency and success rate and promoting patients'rehabilitation.Methods From August 2019 to August 2021,282 patients undergoing knee arthroplasty in Second Ward of Orthopedics of Peking Union Medical College Hospital were selected as the study subjects by convenience sampling method.Set patients who underwent routine follow-up from August to September 2019 as the baseline group.Three stages of follow-up mode optimization were conducted in clinical practice,evaluating the average follow-up duration,success rate of follow-up,and range of motion of patients undergoing knee arthroplasty.Results The average follow-up duration of first,second and third stage follow-up procedures had no statistically differences(P>0.05),while the follow-up success rate gradually increased(P<0.05).The range of motion of patients undergoing knee arthroplasty in the second and third stage of the follow-up was better than those in the first stage and baseline,and the differences were statistically significant(P<0.05).Conclusions The application of action research method can optimize the follow-up mode of patients undergoing knee arthroplasty,and improve the follow-up efficiency and quality.

关 键 词：关节成形术 置换 膝 随访研究 行动研究法 

分 类 号：R687.4[医药卫生—骨科学]