ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 ›› 2020, Vol. 17 ›› Issue (10): 924-927.doi: 10.3761/j.issn.1672-9234.2020.10.012

• 临床实践 • 上一篇    下一篇

中老年全膝关节置换术后患者延续性护理需求及影响因素研究

李晨菲(),刘艳,张会敏,黄幼玲,高蒙蒙,闫浚玮,路小纤,马珍珍()   

  1. 453003 新乡市新乡医学院护理学院（李晨菲,张会敏,路小纤）;陆军第八十三集团军医院（刘艳,黄幼玲,马珍珍）;新乡医学院第一附属医院（高蒙蒙）;新乡医学院三全学院（闫浚玮）
  • 收稿日期:2020-03-26 出版日期:2020-10-20 发布日期:2020-10-29
  • 通讯作者: 马珍珍
  • 作者简介:李晨菲：女,本科（硕士在读）,E-mail： 942804055@qq.com
  • 基金资助:
    新乡医学院2019年研究生科研创新项目(YJSCX201941Y)

Investigation on the continuous nursing needs and influencing factors of middle aged and older patients after total knee arthroplasty

LI Chen-fei(),LIU Yan,ZHANG Hui-min,HUANG You-ling,GAO Meng-meng,YAN Jun-wei,LU Xiao-qian,MA Zhen-zhen()   

  • Received:2020-03-26 Online:2020-10-20 Published:2020-10-29
  • Contact: Zhen-zhen MA

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摘要：

目的 了解中老年全膝关节置换术后患者的延续性护理需求现状,并分析其影响因素。方法 采用便利抽样法,对356例全膝关节置换术后患者,采用一般资料调查表、中老年全膝关节置换术患者延续护理需求量表和简明健康调查量表中文版进行调查。结果 中老年全膝关节置换术后患者延续性护理服务需求总分为（110.47±7.08）分,需求程度较高,其中生理需求维度得分最高,自我实现需求维度得分最低;生活质量总分为（374.51±88.52）分。68.5%的患者希望通过网络沟通平台提供延续护理服务,66.0%的患者希望电话随访。多元线性回归分析结果显示,生活质量、年龄是中老年全膝关节置换术后患者延续护理服务需求的主要影响因素（R2=0.444,F=142.943,P<0.01）。 结论 中老年全膝关节置换术后患者延续性护理需求较高,应根据患者的需求、年龄及生活质量水平制订科学有效的、个体化延续护理干预措施,促进患者康复。

关键词: 问卷调查, 生活质量, 关节成形术, 置换, 膝, 延续性护理, 需求

Abstract:

Objective To understand the status of continuous nursing needs of middle aged and older patients after total knee arthroplasty in Northern Henan province and analyze the influencing factors. Methods A total of 356 patients undergoing total knee arthroplasty were investigated using the general data questionnaire,the continuing care demand scale for middle aged and older patients with total knee arthroplasty,and the Medical Outcomes Study item short from health survey（SF-36）. Results The total demand for continuous care services of patients after total knee replacement was（110.47±7.08）,with a high degree of demand,in which the physiological needs dimension score was the highest,and the self-actualization demand dimension score was the lowest;the total quality of life score was（374.51±88.52）. Continuing care services through the network communication platform were needed by 68.5% of patients,and following up by phone of 66.0%. The multiple linear regression analysis showed that quality of life and age were the main factors influencing the demand for continuous nursing service after total knee replacement（R2=0.444,F=142.943,P<0.01）. Conclusion The quality of life of middle aged and older patients after total knee arthroplasty is poor.According to the needs,age and quality of life of patients,scientific and effective,individualized continuous nursing intervention measures should be formulated to promote the rehabilitation of patients.

Key words: Questionnaires, Quality of Life, Arthroplasty, Replacement, Knee, Continuous care, Demand