首页|膝关节置换患者出院准备度现状及影响因素

膝关节置换患者出院准备度现状及影响因素

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目的 分析膝关节置换患者出院准备度水平及其影响因素.方法 便利选取2022年6-12月在河南省洛阳正骨医院(河南省骨科医院)接受膝关节置换的216例患者作为研究对象.运用一般资料问卷、出院准备度量表(RHDS)和美国特种外科医院评分(HSS)进行问卷调查.采用多元线性回归方法分析影响膝关节置换患者出院准备度的因素.结果 216例膝关节置换患者的RHDS总分为23~120(83.42±23.21)分,条目均分为(6.95±1.93)分,术后HSS得分为51~83(71.22±5.65)分.多元回归分析结果显示,患者的居住地、医疗费用支付方式、诊所或医院离家距离、是否掌握膝关节置换手术相关的健康教育内容、是否掌握有关疼痛的健康教育内容、亲朋好友中是否有相同疾病、体重指数、是否依照计划准备好返家和主要照顾者是膝关节置换患者出院准备度的主要影响因素(P<0.05),共解释总变异的60.6%.结论 膝关节置换患者出院准备度有待进一步提高,医护人员应重点关注患者出院前的个人状态、出院后的社会支持、疾病相关知识掌握等情况,组建多学科干预团队,制定并实施个性化的出院指导,从而提高患者的出院准备度水平.
Discharge Readiness of Knee Replacement Patients and Its Influencing Factors
Objective To analyze the level of discharge readiness of knee replacement patients and its influencing factors.Methods A total of 216 patients who underwent knee replacement in Luoyang Orthopedic Hospital of Henan Province(Orthopedic Hospital of Henan Province)from June to December 2022 were selected as subjects.General information questionnaire,discharge readiness scale(RHDS)and American hospital score for special surgery(HSS)were used to conduct questionnaire survey.Multiple linear regression method was used to analyze the factors affecting discharge readiness of knee replacement patients.Results The total score of RHDS in 216 patients with knee replacement was 23-120(83.42±23.21),the entries were all(6.95±1.93),and the postoperative HSS score was 51-83(71.22±5.65).Multiple regression analysis showed that place of residence,payment method,distance from clinic or hospital,whether to master the health education content related to knee replacement surgery,whether to master the content of health education about pain,relatives and friends with the same disease,body mass index,readiness to return home as planned and primary caregiver were the main influencing factors for discharge readiness of knee replacement patients(P<0.05),accounted for 60.6%of the total variation.Conclusion The discharge readiness of patients with knee replacement need to be further improved.Medical staff should pay attention to the personal status of patients before discharge,social support after discharge,disease-related knowledge and other conditions,establish a multidisciplinary intervention team,formulate and implement personalized discharge guidance,so as to improve the discharge readiness of patients.

knee arthroplasty replacementreadiness for dischargeinfluencing factors

陈璐璐、张新慧

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河南省洛阳正骨医院(河南省骨科医院)脊柱外三科,河南郑州 450000

河南省洛阳正骨医院(河南省骨科医院)护理部,河南郑州 450000

膝关节置换 出院准备度 影响因素

河南省医学科技攻关计划联合共建项目河南省中医药科学研究专项

LHGJ202102632023ZY3015

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(8)
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