跨学科出院计划对接受关节置换手术的患者的日常功能,生活质量和疼痛强度的影响
Mohamad Ghasempour1, Aliasghar Alamian2, Alireza Amanollahi3
1Student Research Committee, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Musculoskeletal care
|July 9, 2025
概括
一个跨专业的出院计划显示,关节和膝关节置换患者的日常功能有所改善. 像BMI这样的个体因素对于未来的术后护理计划很重要.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨关节炎通常会影响部和膝关节,导致疼痛和残疾,特别是在老年人中.
- 整体部和膝盖关节整形术是有效的,但可能导致术后并发症和日常活动中的困难.
- 跨专业协作 (IPC) 显示出改善结果的希望,但在一些地区,如伊朗,其利用不足.
研究的目的:
- 评估跨专业出院计划对接受关节和膝关节置换手术的患者的生活质量,日常功能和疼痛的影响.
- 在现实临床环境中评估基于IPC的排放计划的有效性.
主要方法:
- 一项准实验性研究,涉及90名患者 (≥50岁) 在德黑兰接受关节或膝关节置换.
- 患者被随机分配到干预组 (IPC出院计划) 或对照组 (常规护理).
- 结果 (生活质量,疼痛,功能) 用验证的天平在术前和术后1个月和3个月测量;数据用线性混合模型分析.
主要成果:
- 在术后1个月或3个月的结果测量中,两组之间没有显著的总体差异.
- 干预组在3个月后在部 (p=0.01) 和膝盖 (p=0.05) 置换中显示出日常功能有统计学显著的改善.
- 体重指数 (BMI) 与膝关节手术后的日常功能有显著的相关性 (p<0.05).
结论:
- 专业间核准计划的总体影响有限,在日常运作中只取得了适度的收益.
- 个体患者的因素,如BMI,起着重要作用,应纳入未来的术后护理策略.
- 进一步的研究可能会探索定制的IPC干预措施,以优化关节置换手术后的恢复.
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