优化关节置换手术的护理和选择的机会,使用数字交付的整体PreHab途径
Eleanor R Bills1, Anastasia Dimopoulos1, Anne Lj Burke2
1Surgery Program, Central Adelaide Local Health Network, Adelaide, AU-SA, Australia.
Journal of orthopaedic surgery (Hong Kong)
|May 20, 2024
概括
关节置换手术的新数字预康复计划 (My PreHab Program) 显示了高度的采用和参与. 这种低成本的干预措施是可行的,可以接受的,并可能减少住院时间.
科学领域:
- 数字健康数字健康
- 康复预先治疗 康复前治疗
- 整形外科手术 整形外科手术
背景情况:
- 选择性关节置换手术需要全面的患者准备.
- 预康复计划旨在在手术前优化患者的健康.
- 数字交付为预康复提供了可扩展的解决方案.
研究的目的:
- 实施和评估一项由医院发起的,基于社区的数字预康复计划 (My PreHab Program - MPP).
- 评估MPP的采用,覆盖范围,忠诚度,可接受性,适当性,可行性和参与度.
- 探索与MPP相关的初步手术结果.
主要方法:
- MPP使用个性化的数字健康屏幕提供自我管理资源.
- 符合条件的参与者是成年人 (>=18岁) 被转诊进行可选的全膝关节/关节置换.
- 排除标准包括紧急/紧急手术和缺乏手机.
主要成果:
- 77.8%的受邀患者参与了,而区域受邀患者的参与率更高.
- 参与者通常报告可修改的风险因素,如慢性疼痛,肥胖和虚弱.
- 观察到参与者的参与度很高,80.4%的参与者审查了所有资源,90.9%的参与者打算解决已识别的问题.
- 早期数据表明,与基线 (5.3天) 相比,参与者停留时间缩短了 (4.3天).
结论:
- 我的PreHab计划显示了高度的采用,忠诚度和参与度.
- MPP是一种可接受,适当和可行的数字干预,具有低成本扩展的潜力.
- 普遍存在的可修改风险因素凸显了这种术前干预的必要性,早期结果表明患者和医疗保健系统的好处.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
08:15Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
1.0K
相关概念视频
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Documentation in Long-Term and Home Healthcare Setting
882
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
882
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
