CAJ | 학술논문

目的：了解人工关节置换术患者出院后对延续护理的需求，为构建骨科术后延续护理服务体系提供参考。方法随机抽取某军队三级甲等医院骨科关节置换术患者200例，出院前采用自行设计的延续护理需求调查问卷进行调查。结果护理指导内容排在前3位的为下床时间98．0％、平衡训练94．0％、康复流程93．0％；延续护理形式排在前3位的为健康教育手册100．0％、网上咨询90．0％、热线电话82．0％；61．0％的患者认为出院2个月内需要得到每周1次的专业指导，出院3个月后需要得到2周1次的专业指导。结论人工关节置换患者术后对延续护理服务有较高的需求，护理人员应在规范院内健康教育的基础上加强出院后的康复指导，避免患者从医院到家庭出现的医疗护理脱节。以此达到促进肢体正常功能恢复，提高患者生活质量的目的。
목적：료해인공관절치환술환자출원후대연속호리적수구，위구건골과술후연속호리복무체계제공삼고。방법수궤추취모군대삼급갑등의원골과관절치환술환자200례，출원전채용자행설계적연속호리수구조사문권진행조사。결과호리지도내용배재전3위적위하상시간98．0％、평형훈련94．0％、강복류정93．0％；연속호리형식배재전3위적위건강교육수책100．0％、망상자순90．0％、열선전화82．0％；61．0％적환자인위출원2개월내수요득도매주1차적전업지도，출원3개월후수요득도2주1차적전업지도。결론인공관절치환환자술후대연속호리복무유교고적수구，호리인원응재규범원내건강교육적기출상가강출원후적강복지도，피면환자종의원도가정출현적의료호리탈절。이차체도촉진지체정상공능회복，제고환자생활질량적목적。
Objective To explore the demands of continuing nursing care for discharged patients after artificial joint replacement and to improve the continuing nursing service system for orthopaedics patients post operation.Methods Randomly chose 200 discharged arthroplasty patients from department of orthopaedics in a Certain3-Grade-A Integrate hospital as the subjects, and they were investigated with the self-designed questionnaire on continuing nursing service needing.Results Among 200 patients, bed time (98.0%), balance training (94.0%) and rehabilitation processes (93.0%) were the important contents of extended care. Health education(100.0%), online counseling(90.0%) and telephone hotline(82.0%) were main forms of extended care.And 61.0% of patients want to get professional guidance once a week in first 2 months discharge, and once two weeks in 3 months discharge.Conclusions Discharged patients after artificial joint replacement have high demand of continued nursing care.Nursing staff should support patients not only satisfactory health education in hospital but also relevant rehabilitation guidance after being discharged in order to promote to recovery and improve their life quality.