快速全膝关节整形术后,患者是否准备好从医院出院?- 一项定性研究
Simeng You1, Na Li2, Manjie Guo3
1The affiliated hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, Zhejiang, China.
PloS one
|May 29, 2024
概括
接受快速全膝关节整形手术 (TKA) 的患者报告了积极的出院体验. 然而,康复和过渡的挑战突出了改善出院准备和持续护理服务的领域.
科学领域:
- 整形外科手术 整形外科手术
- 患者体验研究 研究研究
- 医疗保健管理的管理
背景情况:
- 在全膝关节整形术 (TKA) 中,快速通道协议减少了住院时间.
- 现在预计早期的患者自我护理和更高的护理标准.
- 有限的研究存在于患者的经验与快速通道TKA释放.
研究的目的:
- 了解患者在快速通道TKA出院期间的经历.
- 为了确定当前快速的TKA排放准备中的差距.
- 探索放电服务的潜在改进.
主要方法:
- 使用半结构面试进行定性研究设计.
- 采访了21名接受TKA并收到出院命令的患者.
- 解释性现象学分析 (IPA) 用于数据分析.
主要成果:
- 患者在出院时表达了喜悦,但也表达了对假肢功能的无助和焦虑.
- 康复的挑战包括药物管理,环境调整和关系影响.
- 安全过渡需要富有同情心的沟通,积极倾听和人性化的持续护理.
结论:
- 快速通道TKA患者通常报告满意的出院准备.
- 困难仍然存在,这表明需要加强排放准备护理.
- 改进应该集中在解决患者的担忧和支持康复过渡.
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