探索影响全膝关节整形术后医院出院准备的因素:结构方程模型方法
Na Li1, Manjie Guo2, Simeng You3
1Department of Nursing, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Nursing open
|September 23, 2024
概括
在全膝关节整形术后,患者准备退院受到年龄,疼痛,教育和社会支持的影响. 针对这些因素的有针对性的护理干预措施对于改善患者的治疗结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全膝关节整形术 (TKA) 是治疗末期膝关节关节炎的常见手术.
- 准备出院 (RHD) 是影响术后康复和患者满意度的关键因素.
- 确定影响RHD的因素对于优化患者护理和减少再入院至关重要.
研究的目的:
- 为了调查影响RHD的因素在中国患者中TKA后.
- 确定护理干预的关键领域,以加强RHD.
主要方法:
- 一项涉及339名在两个三级医院接受TKA的患者的横截面研究.
- 从2022年1月到8月收集的数据.
- 使用SPSS 26.0和Mplus 8.3软件进行统计分析.
主要成果:
- 多重线性回归确定了年龄,居住状态,教育水平,睡眠期间的膝盖疼痛,出院教学质量,康复的自我有效性,疼痛控制知识和社会支持作为影响RHD的重要因素.
- 结构方程建模揭示了教育水平的间接影响,睡眠期间的膝盖疼痛,放学教学质量和对RHD的疼痛控制知识.
结论:
- 患者准备出院需要改进.
- 医疗保健提供者应专注于具有较低RHD的高风险患者群.
- 针对特定因素的有针对性的护理干预可以改善术后护理和患者的治疗结果.
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