延續性護理在全髖關節置換術后患者中的應用_West China Medical Journal

Authors：

 寧忠華 ¹ , 雷榮花 ²

1. ;
2. ;

Corresponding?author：

Keywords：

護理理論; 過渡期; 全髖關節置換; 出院護理; 延續性護理

DOI：

10.7507/1002-0179.201600352

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目的總結延續性護理在全髖關節置換術后患者中的應用經驗，為患者從醫院到家庭的過渡期護理提供理論依據。方法對2015年6月－9月收治的30例全髖關節置換術后患者實施延續性護理，通過出院評估、制定護理計劃并實施、效果評價、強化出院指導、電話隨訪，提高患者出院后的遵醫行為，充分調動患者的積極性。結果通過對患者實施以Meleis護理過渡理論為基礎的延續性護理，在出院后3個月隨訪時，患者未發生并發癥；視覺模擬評分由出院時的5分降至1分；髖關節功能評分由出院時55分上升至95分；生活質量調查問卷評分由出院時19分降至14分。結論 Meleis護理過渡理論有利于患者從醫院到家庭的順利過渡，能夠更好地推進延續性護理在髖關節置換術患者中的應用。

Citation： 寧忠華, 雷榮花. 延續性護理在全髖關節置換術后患者中的應用. West China Medical Journal, 2016, 31(7): 1293-1295. doi: 10.7507/1002-0179.201600352 Copy

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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. 賴偉珍, 黃捷. 出院指導對艾滋病病人生活質量的影響[J]. 護理研究, 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. Sk?rs?ter 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.

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