目的 总结延续性护理在全髋关节置换术后患者中的应用经验,为患者从医院到家庭的过渡期护理提供理论依据。
方法 对2015年6月-9月收治的30例全髋关节置换术后患者实施延续性护理,通过出院评估、制定护理计划并实施、效果评价、强化出院指导、电话随访,提高患者出院后的遵医行为,充分调动患者的积极性。
结果 通过对患者实施以Meleis护理过渡理论为基础的延续性护理,在出院后3个月随访时,患者未发生并发症;视觉模拟评分由出院时的5分降至1分;髋关节功能评分由出院时55分上升至95分;生活质量调查问卷评分由出院时19分降至14分。
结论 Meleis护理过渡理论有利于患者从医院到家庭的顺利过渡,能够更好地推进延续性护理在髋关节置换术患者中的应用。
Citation:
宁忠华, 雷荣花. 延续性护理在全髋关节置换术后患者中的应用. West China Medical Journal, 2016, 31(7): 1293-1295. doi: 10.7507/1002-0179.201600352
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. Meleis AI, Sawyer LM, Im EO, et al. Experiencing transitions:an emerging middle-range theory[J]. ANS Adv Nurs Sci, 2000, 23(1):12-28.
- 2. 赖伟珍, 黄捷. 出院指导对艾滋病病人生活质量的影响[J]. 护理研究, 2005, 19(12):1085-1086.
- 3. Schumacher KL, Meleis AI. Transitions:a central concept in nursing[J]. Image J Nurs Sch, 1994, 26(2):119-127.
- 4. Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale[J]. J Nurs Meas, 2006, 14(3):163-180.
- 5. Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients[J]. Clin Nurse Spec, 2007, 21(1):31-42.
- 6. Meleis AI. Transitions theory:middle-range and situation-specific theories in nursing research and practice[M]. American:Springer Publishing Co Inc, 2010.
- 7. Im EO. Transitions theory:a trajectory of theoretical development in nursing[J]. Nurs Outlook, 2011, 59(5):278-285.
- 8. Skärsäter I, Willman A. The recovery process in major depression:an analysis employing Meleis? transition framework for deeper understanding as a foundation for nursing interventions[J]. ANS Adv Nurs Sci, 2006, 29(3):245-259.