中华护理杂志 ›› 2021, Vol. 56 ›› Issue (4): 515-520.DOI: 10.3761/j.issn.0254-1769.2021.04.006
收稿日期:
2020-11-30
出版日期:
2021-04-15
发布日期:
2021-04-14
通讯作者:
李春红
作者简介:
张亚琴:女,本科,主任护师,E-mail: ZHANG Yaqin(),LI Yanting,SHAN Dandan,SHEN Xingwei,CUI Xinxin,LI Chunhong()
Received:
2020-11-30
Online:
2021-04-15
Published:
2021-04-14
Contact:
Chunhong LI
摘要:
目的 探讨协同护理模式对全髋关节置换术后恐动症患者的影响。方法 选取2019年8月—2020年7月郑州市某三级甲等综合医院收治的92例全髋关节置换术后恐动症患者作为研究对象,其中2020年2月—7月入院的46例作为试验组,实施协同护理模式;2019年8月—2020年1月入院的46例作为对照组,实施常规护理。比较两组干预前后恐动症水平、疼痛程度、髋关节功能及出院准备度的差异。结果 干预后试验组恐动症评估简表评分、疼痛视觉模拟评分表评分、牛津髋关节功能量表评分低于对照组,出院准备度量表评分高于对照组,两组比较,差异均有统计学意义(P<0.05)。结论 协同护理模式可降低全髋关节置换术后患者的恐动症水平,减轻患者疼痛,促进其髋关节功能恢复,提升出院准备度。
张亚琴,李艳婷,单丹丹,申幸伟,崔鑫鑫,李春红. 协同护理模式在全髋关节置换术后恐动症患者中的应用[J]. 中华护理杂志, 2021, 56(4): 515-520.
ZHANG Yaqin,LI Yanting,SHAN Dandan,SHEN Xingwei,CUI Xinxin,LI Chunhong. The effect of a collaborative nursing model on patients with kinesiophobia after total hip replacement[J]. Chinese Journal of Nursing, 2021, 56(4): 515-520.
表2 干预前后两组疼痛、恐动症评分比较(分,$\bar{x}$±s)
Table 2 Comparison of pain and kinesiophobia scores between the two groups before and after intervention (scores,$\bar{x}$±s)
表3 干预前后两组髋关节功能、出院准备度评分比较(分,$\bar{x}$±s)
Table 3 Comparison of hip function and discharge readiness scores between the two groups before and after intervention(scores,$\bar{x}$±s)
[1] | 梁森, 张世杰, 张玉华, 等. 黄河滩区居民髋关节疾病患病率及其影响因素的调查研究[J]. 中国全科医学, 2018,21(17):2106-2110. |
Liang S, Zhang SJ, Zhang YH, et al. Prevalence and associated factors of hip joint disease in Yellow River beach areas in Henan Province[J]. Chin Gen Pract, 2018,21(17):2106-2110. | |
[2] | 李英, 徐艳华, 郭孟果, 等. 早期下床活动对人工全髋关节置换患者术后并发症和髋关节功能的影响[J]. 中华现代护理杂志, 2019,25(2):155-159. |
Li Y, Xu YH, Guo MG, et al. Influence of early ambulation on postoperative complications and hip joint function among patients with total hip replacement[J]. Chin J Mod Nurs, 2019,25(2):155-159. | |
[3] | 姚孟轩, 霍佳, 魏聪聪, 等. 髋关节置换围手术期的多模式疼痛管理[J]. 中华老年骨科与康复电子杂志, 2020,6(6):370-375. |
Yao MX, Huo J, Wei CC, et al. Multi-modal pain management in the perioperative period of hip replacement[J]. Chin J Geriatr Orthop Rehabil Electron Ed, 2020,6(6):370-375. | |
[4] |
Gunendi Z, Eker D, Tecer D, et al. Is the word “osteoporosis” a reason for kinesiophobia?[J]. Eur J Phys Rehabil Med, 2018,54(5):671-675.
DOI URL PMID |
[5] |
Jablonski J, Gray J, Miano T, et al. Pain,agitation,and delirium guidelines:interprofessional perspectives to translate the evidence[J]. Dimens Crit Care Nurs, 2017,36(3):164-173.
DOI URL PMID |
[6] | 朱仲廉, 王照东, 高许斌, 等. 医养结合模式对老年患者髋关节置换术后恐动症及康复质量的影响[J]. 中华全科医学, 2019,17(6):947-950. |
Zhu ZL, Wang ZD, Gao XB, et al. Role of medical care and pension combination mode in improving panic disorder and rehabilitation quality of elderly patients after hip replacement[J]. Chin J Gen Pract, 2019,17(6):947-950. | |
[7] | 杨红. 快速康复外科理念应用于单侧全髋关节置换术快速康复临床护理路径的初步构建及应用[D]. 南昌:南昌大学, 2018. |
Yang H. Preliminary construction of the clinical nursing path for application of fast track surgery to unilateral total hip replacement and application[D]. Nanchang:Nanchang University, 2018. | |
[8] | 李海云, 徐化. Otago运动对老年全膝关节置换术后患者恐动程度及跌倒风险的影响[J]. 护士进修杂志, 2020,35(11):965-969. |
Li HY, Xu H. Effect of Otago exercise programme on kinesiophobia and falling risk in elderly patients with knee arthroplasty[J]. J Nurses Train, 2020,35(11):965-969. | |
[9] | 王新歌, 樊少磊, 韩晗. 协同护理模式对血液透析患者自我护理能力和生活质量的影响[J]. 中华护理杂志, 2013,48(3):207-209. |
Wang XG, Fan SL, Han H. Effect of the collaboration care model on self-care agency and quality of life in patients with hemodialysis[J]. Chin J Nurs, 2013,48(3):207-209. | |
[10] | 谢红芬, 王桂梅, 胡启梅, 等. 以家庭为中心的协同护理对抑郁症患者照顾者家庭负担及社会支持的影响[J]. 中华护理杂志, 2018,53(6):662-667. |
Xie HF, Wang GM, Hu QM, et al. The effects of family-centered collaborative care on family burden and social support for caregivers of patients with depression[J]. Chin J Nurs, 2018,53(6):662-667. | |
[11] | Lott TF, Blazey ME, West MG. Patient participation in health care:an underused resource[J]. Nurs Clin N Am, 1992,27(1):61-76. |
[12] | Enhancing Interdisciplinary Collaboration in Primary Health Care. Primary health care:a framework that fits[EB/OL]. [2020-1-20]. http://www.eicp-acis.ca/en/resources/pdfs/Enhancing-Interdisciplinary-Collaboration in Primary Health Care in Canada. |
[13] | 杨敏. 基于协同护理模式的健康教育干预对布鲁氏菌病患者的效果研究[D]. 长春:吉林大学, 2020. |
Yang M. Effect of CCM based health education intervention on brucellosis patients[D]. Changchun:Jilin University, 2020. | |
[14] | 周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复:围术期管理策略专家共识[J]. 中华骨与关节外科杂志, 2016,9(1):1-9. |
Zhou ZK, Weng XS, Qu TB, et al. Expert consensus in enhanced recovery after total hip and knee arthroplasty in China:perioperative management[J]. Chin J Bone Jo Surg, 2016,9(1):1-9. | |
[15] | 陈玉倩. 长沙市全髋关节置换术患者恐动症现状及影响因素分析[D]. 长沙:湖南师范大学, 2020. |
Chen YQ. Analysis of the status and influencing factors of kinesiophobia in patients with total hip arthroplasty in Changsha[D]. Changsha:Hunan Normal University, 2020. | |
[16] |
Woby SR, Roach NK, Urmston M, et al. Psychometric properties of the TSK-11:a shortened version of the Tampa Scale for Kinesiophobia[J]. Pain, 2005,117(1/2):137-144.
DOI URL |
[17] | 蔡立柏, 刘延锦, 徐秋露, 等. 恐动症评估简表中文版在全膝关节置换患者中应用的信效度研究[J]. 中华行为医学与脑科学杂志, 2019,28(3):270-274. |
Cai LB, Liu YJ, Xu QL, et al. Reliability and validity of the Chinese version of the Tampa scale of kinesiophobia in patients with total knee arthroplasty[J]. Chin J Behav Med Brain Sci, 2019,28(3):270-274. | |
[18] |
Wroblewski BM. Questionnaire on the perceptions of patients about total hip replacement[J]. J Bone Joint Surg Br, 1996, 78(5):856.
URL PMID |
[19] | 夏振兰, 何冰, 范梅霞, 等. 中文版牛津髋关节功能量表信效度评价[J]. 护理学报, 2012,19(5):23-25. |
Xia ZL, He B, Fan MX, et al. Reliability and validity of Chinese version of Oxford Hip Score[J]. J Nurs, 2012,19(5):23-25. | |
[20] |
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.
DOI URL PMID |
[21] | 林佑桦, 常家美, 黄阿美, 等. 中文版医院出院准备度量表之信效度检定[J]. 护理杂志, 2014,61(4):56-65. |
Lin YH, Chang JM, Huang AM, et al. Psychometric testing of the Chinese version of the Readiness for Hospital Discharge Scale[J]. The J Nurs, 2014,61(4):56-65. | |
[22] |
Olsson LE, Hansson E, Ekman I. Evaluation of person-centred care after hip replacement-a controlled before and after study on the effects of fear of movement and self-efficacy compared to standard care[J]. BMC Nurs, 2016,15(1):1-10.
DOI URL |
[23] |
Sengul YS, Unver B, Karatosun V, et al. Assessment of pain-related fear in patients with the thrust plate prosjournal(TPP):due to hip fracture and hip osteoarthritis[J]. Arch Gerontol Geriatr, 2011,53(2):e249-e252.
DOI URL PMID |
[24] | 吴宣, 赵欣茹, 刘义兰, 等. 护士疼痛评估循证护理实践现状及影响因素分析[J]. 护理学杂志, 2020,35(5):66-68. |
Wu X, Zhao XR, Liu YL, et al. The level and factors associated with evidence-based nursing practice in pain assessment[J]. J Nurs Sci, 2020,35(5):66-68. | |
[25] | 阮晓芬, 姚梅琪, 冯燕, 等. 基于核心胜任力的疼痛专科护士临床实践教学体系的构建[J]. 中华护理杂志, 2020,55(8):1234-1238. |
Ruan XF, Yao MQ, Feng Y, et al. Construction of a clinical practice teaching system for pain specialist nurses based on core competence[J]. Chin J Nurs, 2020,55(8):1234-1238. | |
[26] | 朱冉君, 芦良花, 李瑞玲. 协同护理模式的研究进展[J]. 护士进修杂志, 2017,32(13):1184-1185. |
Zhu RJ, Lu LH, Li RL. Research progress of collaborative nursing model[J]. J Nurses Train, 2017,32(13):1184-1185. | |
[27] | 肖莉萍. 协同护理干预对全髋关节置换术术后老年患者负性情绪、髋关节功能和生活质量的影响[J]. 中国当代医药, 2020,27(17):208-211. |
Xiao LP. Influence of cooperative nursing intervention on negative emotion,hip joint function and quality of life of elderly patients after total hip replacement[J]. China Mod Med, 2020,27(17):208-211. | |
[28] | 朱慧, 张丹妮, 金孔军, 等. 恐动症成因分析量表的汉化及信效度检验[J]. 解放军护理杂志, 2020,37(1):1-4. |
Zhu H, Zhang DN, Jin KJ, et al. The reliability and validity of the Chinese version of Kinesiophobia Causes Scale[J]. Nurs J Chin PLA, 2020,37(1):1-4. | |
[29] | 黄师菊, 钟美浓, 蔡有弟, 等. 临床营养专科护士核心能力评价指标的构建[J]. 中华护理杂志, 2020,55(11):1665-1672. |
Huang SJ, Zhong MN, Cai YD, et al. Construction of evaluation index system for core competence of clinical nutrition specialist nurses[J]. Chin J Nurs, 2020,55(11):1665-1672. | |
[30] | 蔡立柏, 刘延锦, 李英, 等. 多学科协作干预方案在全膝关节置换术后恐动症患者中的应用研究[J]. 中华护理杂志, 2020,55(4):494-499. |
Cai LB, Liu YJ, Li Y, et al. The effects of multidisciplinary teamwork intervention for total knee arthroplasty patients with kinesiophobia[J]. Chin J Nurs, 2020,55(4):494-499. | |
[31] | 代淑影, 曹亚君, 丁艳红, 等. 协同护理干预模式对老年人工全髋关节置换术患者康复的影响[J]. 临床护理杂志, 2020,19(1):23-26. |
Dai SY, Cao YJ, Ding YH, et al. The effect of collaborative nursing intervention mode on the rehabilitation of elderly patients undergoing total hip replacement[J]. J Clin Nurs, 2020,19(1):23-26. | |
[32] |
Weiss ME, Costa LL, Yakusheva O, et al. Validation of patient and nurse short forms of the readiness for hospital discharge scale and their relationship to return to the hospital[J]. Health Serv Res, 2014,49(1):304-317.
DOI URL PMID |
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