摘要
目的了解全膝关节置换术患者的延续性护理需求,为制订延续性护理干预措施提供科学依据。方法采用自行设计的全膝关节置换术患者延续性护理需求调查表对98例患者进行问卷调查,采用KSS膝关节评分系统评价患者的整体功能,采用Barthel指数评价患者的日常生活自理能力,分析患者延续性护理需求与其KSS评分、Barthel指数的相关性。结果全膝关节置换术患者的各项延续性护理需求均超过50%,需求得分排名前3位的项目为:居家功能锻炼指导、全膝关节置换术后的连续护理、康复器械使用指导;85%的患者希望延续性护理服务方式为电话随访;患者延续性护理需求与其KSS评分及Barthel指数呈显著负相关。结论全膝关节置换术患者的延续性护理需求得分处于中等偏高水平,其整体功能越差、日常生活自理能力越低,对延续性护理的需求越高。
Objective To understand the continuity nursing needs of postoperative patients undergoing total knee arthroplasty （TKA）, so as to provide scientific basis for formulation of continuity nursing intervention measures. Methods Questionnaire survey to 98 patients was conducted using self-designed table for the continuity nursing needs of postoperative patients underwent total knee arthroplasty. Patients＇ whole function and daily self-care ability were evaluated by KSS knee functional score and Barthel index respectively, and the correlations of continuity nursing needs with KSS knee functional score and Barthel index were analyzed. Results More than half of patients need continuity nursing after TKA operation, factors ranked the first three places were functional guidance at home, continuity nursing after operation, functional guidance of rehabilitation equipment. 85% of the patients hoped to use telephone as the service mode of follow-up. The continuity nursing needs had significant correlation with the KSS knee functional score and Barthel index. Conclusions Postoperative patients underwent total knee arthroplasty have high demand of continuity nursing. Patient with poor whole function or （and） weak self-care ability has a high demand of continuity nursing.
出处
《临床医学工程》
2017年第10期1479-1481,共3页
Clinical Medicine & Engineering
基金
2016年佛山市医学科研立项项目(项目编号:20160100)
关键词
全膝关节置换术
延续性护理
需求
调查
Total knee arthroplasty （TKA）
Continuity nursing
Demand
Investigation
