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題名:人工膝關節置換病患復健運動照護品質之改善
書刊名:長庚護理
作者:林秋子倪同芳林珠石惠美杜素珍
作者(外文):Lin, Chau-tzuLi, Torng-fangLin, ChuShih, Whei-meiDou, Su-jene
出版日期:2004
卷期:15:4=48
頁次:頁436-447
主題關鍵詞:人工膝關節置換術復健運動照護品質Total knee replacementRehabilitation exercise quality of care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:48
  • 點閱點閱:107
     本專案目的為改善人工膝關節置換病患復健運動照護品質,運用了結構式問卷及行為觀察表收集資料得知,人工膝關節置換病患術前衛教執行率僅達5%、對衛教工具的滿意度為3.3(5分量法)、復健運動每日平均正確執行率為54.28%、接受復健運動指導平均滿意度3.89;綜合以上復健運動照護品質缺失,自民國91年6-12月進行本專案改善,提早於術前介入衛教錄影帶觀賞及主動提供人工膝關節照護手冊衛教指導,並藉由護理人員每日持續監測病患復健運動的正確執行率,期能提升病患復健運動之成效,經本專案改善結果為病患術前衛教執行率達100%、對衛教工具滿意度提昇至4.57、復健運動每日平均正確執行率提昇為94.66%、接受復健運動指導平均滿意度提昇為4.47。因此本專案改善後確實明顯提升人工膝關節置換病患術後復健運動照護品質。
     The purpose of this project was to improve quality of care of rehabilitation exercise for patients receiving total knee replacement. Before this project was implemented, the results from a structured questionnaire and behavior observation sheet were as follows: 1) implementation rate of pre-operative health education was 5%; 2) the satisfaction of patient toward health educational tool was 3.3; 3) the accuracy rate of patients' rehabilitation exercises on a daily basis was 54.28%; and 4) the satisfaction of acceptance of instruction regarding rehabilitation exercise was 3.89. In order to improve these figures, this project provided pre-operative health education and brochure and video regarding total knee replacement care to patients during June to December in 2002. Besides, nursing staff monitored accuracy of patients' rehabilitation exercises on a daily basis to promote their effectiveness. The results revealed that 1) implementation rate of pre-operative health education was up to 100%; 2) the satisfaction of patient toward health educational tool increased to 4.57; 3) the accuracy rate of patients' rehabilitation exercises on a daily basis raised to 94.66%; and 4) the satisfaction of acceptance of instruction regarding rehabilitation exercise increased to 4.47. Evidently, this project has significantly improved the quality of care of rehabilitation exercise for patients receiving total knee replacement.
期刊論文
1.詹美華、鄭誠功、王淑芬(19970700)。比較不同運動方式對退化性膝關節功能改善之效益。臺灣醫學,1(4),447-456。  延伸查詢new window
2.林碧珠、林麗嬋、林金真(19970200)。比較不同衛教時機與方法對人工膝關節置換術患者之效果。護理研究,5(1),30-40。new window  延伸查詢new window
3.王金蓮、莊琴英、林碧珠(1998)。骨科病患柺杖之效果評値。榮總護理,15(1),21-28。  延伸查詢new window
4.古秋雲、張文芸、邱淑貞(19990900)。「復健住院病患護理評估表」之建立及評值。護理新象,9(3)=55,14-31。  延伸查詢new window
5.林笑(1995)。影響手術後病患下床因素探討。榮總護理,12(1),71-77。new window  延伸查詢new window
6.許萬宜(1993)。臺灣髖膝人工關節成形手術年度統計報告。臺灣骨科醫學會雜誌,10(3),289-298。  延伸查詢new window
7.黃惠玲、林春香(19960600)。人工髖關節手術後出院衛教成效之探討。長庚護理,7(2)=14,58-69。new window  延伸查詢new window
8.楊貴蘭、高紀惠、黃慈心、施俊雄、潘璦琬(19970600)。復健護理方案對髖關節置換手術病患的自我照顧認知及活動功能進展成效之探討。長庚護理,8(2)=18,43-52。new window  延伸查詢new window
9.Joyce. B. M.、Kkirby, R. L.(1991)。Canes crutches and waikers。American Family Physician,43(2),535-542。  new window
10.張佳琪、黃文鴻(20011200)。健保支付制度對全髖及全膝關節置換手術醫療利用情形之影響。臺灣公共衛生雜誌,20(6),440-450。new window  延伸查詢new window
11.楊淑雅、馬素華、許光宏、吳基銓(20010600)。膝部骨性關節炎醫療照護成效量表之發展。護理雜誌,48(3),44-54。new window  延伸查詢new window
12.Alywahby, N. F.(1989)。Principles of teaching for individual learning of older adults。Rehabilitation Nursing,14(6),330-333。  new window
13.彭美姿(19980800)。活動限制與復健運動--以下肢損傷的骨科病人為例。護理雜誌,45(4),77-83。new window  延伸查詢new window
14.邱淑芬、莊琴英、陳瓊香、楊馥美、毛錦玉、湯靜怡(19960900)。探討骨科護理在職教育對護理人員之影響。榮總護理,13(3),332-342。new window  延伸查詢new window
15.Abbott, S. A.(1998)。The benefits of patient education。Gastroenterology Nursing,21(5),207-209+230-231。  new window
16.林碧珠(19961200)。人工髖關節置換術患者的衛生教育。榮總護理,13(4),424-429。new window  延伸查詢new window
17.林碧珠、莊琴英、王金蓮、陸嘉玲、林美杏(19980900)。手術前衛教對人工髖關節置換術患者之成效。榮總護理,15(3),293-302。new window  延伸查詢new window
18.高淑芬、蕭冰如、蔡秀敏、邱珮怡(20000200)。老年人的健康促進生活型態與衛生教育。護理雜誌,47(1),13-18。new window  延伸查詢new window
圖書論文
1.Cicuttini, F. M.、Spector, T. D.(1997)。Evidence for the increasing prevalence of osteoarthritis with aging: Dose this pertain to the oldest old?。Osteoarthritis: Public health implications for an aging population。Baltimore:Johns Hopkins。  new window
2.Sanders, B.(1997)。Exercise and rehabilitation concepts。Orthopedic and sports physical therapy。St. Louis, MO:Mosby。  new window
 
 
 
 
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