膝关节关节整形术患者在术前期间的"邻床效应"
Jia-Jing Xu1, Xiao-Ting Tang2, Wei-Cong Fu1
1From the Department of Joint Orthopaedic Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua City, Zhejiang Province, China.
概括
接受全膝关节整形手术 (TKA) 的住院患者的焦虑可能会对邻近的患者产生负面影响,增加他们的疼痛并阻碍恢复. 护理人员的战略床位安排可以减轻这种"邻近床位效应".
科学领域:
- 整形外科手术 整形外科手术
- 心理影响健康的心理影响
- 患者护理管理 患者护理管理
背景情况:
- 膝关节骨关节病是一种在老年人中普遍存在的退行性关节疾病.
- 膝关节整形术 (TKA) 是对末期膝关节骨关节病的常见治疗方法.
- 在患有膝关节骨关节病的患者中经常观察到焦虑.
研究的目的:
- 在接受TKA的患者住院期间调查情绪传染.
- 评估焦虑对TKA患者术后康复结果的影响.
- 探索床位安排对情绪传染和患者结果的影响.
主要方法:
- 根据焦虑状态和靠近床的距离,对象被分组.
- 所有参与者都接受了单方面,在全身麻醉下巩固的TKA.
- 术后恢复指标 (疼痛,疼痛行为,身体功能) 被追踪了3个月.
主要成果:
- 焦虑患者在手术前报告了更高的疼痛评分.
- 与焦虑患者相邻的非焦虑患者经历了增加的疼痛和较差的功能.
- 所有组的放免后结果都有所改善,在一个月内达到类似水平.
结论:
- 焦虑可能会导致TKA患者在附近的床上出现"邻床效应".
- 这种效应与手术后疼痛和身体功能较差有关.
- 心理评估和优化床位安排等护理干预措施可以防止这种现象.
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