延续性护理在全髋关节置换术后患者中的应用_West China Medical Journal

Authors：

 宁忠华 ¹ , 雷荣花 ²

1. ;
2. ;

Corresponding author：

Keywords：

护理理论; 过渡期; 全髋关节置换; 出院护理; 延续性护理

DOI：

10.7507/1002-0179.201600352

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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 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. 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.

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延续性护理在全髋关节置换术后患者中的应用

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