:::

詳目顯示

回上一頁
題名: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
書刊名:護理研究
作者:林碧珠林麗嬋林金真
作者(外文):Lin, Pi-chuLin, Li-chanLin, Jin-jen
出版日期:1997
卷期:5:1
頁次:頁30-40
主題關鍵詞:人工膝關節置換術手術前衛教成人教育知識手術後運動Total knee arthroplastyPreoperative teachingAndragogyKnowledgePostoperative exercise
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:3
  • 共同引用共同引用:79
  • 點閱點閱:43
     本研究目的在比較不同衛教時機與衛教方式,對人工膝關節置換術患者之手術前焦慮程度、知識度程、手術後執行復健運動、身體功能恢復情形之影響。採類實驗設計,樣本來源為臺北市某一醫學中心之骨科病人,採立意取樣法,總計收案60人,實驗組30人。 實驗處理後,所得資料以描述性分析、t檢定、配對t檢定、共變數分析、相關分析等方法來分析。研究結果如下:(1)兩組病患之焦慮程度沒有差異。(2)實驗組的知識得分顯著高於控制組。(3)實驗組病患手術後復健運動執行的規律性和正確性,顯著優於控制組。(4)實驗組病患手術後第六天膝關節彎曲度數,顯著大於控制組。(5)兩組病患手術後第一次下床時間、上下床及走路能力、住院天數無顯著差異。根據研究結果,建議未來可將人工膝關節置換術病人的手術前衛教安排於門診住院前舉行。
     The purpose of this study was to compare the effectiveness of different educational programs for patients with total knee arthroplasty. The preoperative anxiety level, knowledge level, postoperative exercise performance, and postoperative recovery were used as outcome measures. A quasi-experimental design was used. with subjects chosen from a medical center in metropolitan Taipei, Taiwan. The total sample size was 60, 30 for the experimental group and 30 for the control group. After the experimental treatment, descriptive analysis, t-test, paired t-test, ANCOVA, and Pearson correlation were used to analyze collected data. The results were as follows:1. There was no significant difference between the two groups in anxiety score. 2. The experimental group had a significantly higher knowledge level than the control group. 3. The experimental group performed exercise more regularly and correctly than the control group. 4. The experimental group had greater flexion of the operative knee joint than the control group. 5. There was no significant difference between the two groups at the first postoperative ambulatory episode, in getting out of bed, ambulating ability and length of stay. Based on the research findings, pre-admission teaching for patients with total knee arthroplasty is recommended.
期刊論文
1.Mumford, E.、Schlesinger, H. J.、Glass, G. V.(1982)。The Effects of Psychological Intervention on Recovery from Surgery and Heart Attacks: An Analysis of the Literature。American Journal of Public Health,72(2),141-151。  new window
2.Alywahby, N. F.(1989)。Principles of teaching for individual learning of older adults。Rehabilitation Nursing,14(6),330-333。  new window
3.Graham, L. E.、Conley, E. M.(1971)。Evaluation of Anxiety and Fear in Adult Surgical Patients。Nursing Research,20(2),113-122。  new window
4.Cupples, S. A.(1991)。Effects of timing and reinforcement of preoperative education on knowledge and recovery of patients having coronary artery bypass graft surgery。Heart & Lung,20(6),654-660。  new window
5.Miller, A.(1985)。When is the time ripe for teaching?。American Journal of Nursing,85(7),801-804。  new window
6.Gaskey, N. J.(1987)。Evaluation of the effect of a pre-operative anesthesia videotape。Journal of the American Association of Nurse Anesthetists,55(4),341-345。  new window
7.Ali, N. S.、Khalil, H. Z.(1989)。Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients。Cancer Nursing,12(4),236-242。  new window
8.Christopherson, B.、Pfeiffer, C.(1980)。Varying the timing of information to alter preoperative anxiety and postoperative recovery in cardiac surgery patients。Heart & Lung,9(5),854-861。  new window
9.Devine, E. C.、Cook, T. D.(1983)。A meta-analytic analysis of effects of psychoeducational interventions on length of postsurgical hospital stay。Nursing Research,32(5),267-273。  new window
10.Ecker, M. L.、Lotke, P. A.(1989)。Postoperative care of the total knee patient。Orthopedic Clinics of North America,20(1),55-61。  new window
11.Egbert, L. D.、Battit, G. E.、Welch, C. E.、Bartlett, M. K.(1964)。Reduction of postoperative pain by encouragement and instruction of patients。The New England Journal of Medicine,270(16),825-832。  new window
12.Haines, N.、Viellion, G.(1990)。A successful combination: Preadmission testing and preoperative education。Orthopaedic Nursing,9(2),53-57。  new window
13.Harms, M.、Engstrom, B.(1991)。Continuous passive motion as an adjunet to treatment in the physiotherapy management of the total knee arthroplasty patient。Physiotherapy,77(4),301-307。  new window
14.Kempe, A. R.、Gelazis, R.(1985)。Patient anxiety levels。Official Journal of the Association of Operating Room Nurses,41,390-396。  new window
15.King, Imogene、Tarsitano, B.(1982)。The effect of structured and unstructured preoperative teaching: A replication。Nursing Research,31(6),324-329。  new window
16.Lepczyk, M.(1990)。Timing of preoperativepatients teaching。Journa of Advanced Nursing,15(3),300-306。  new window
17.Levesque, L.、Grenier, S. K.、Reidy, M.(1984)。Evaluation of a presurgical group program given at two different times。Research in Nursing and Health,7,227-236。  new window
18.Linde, B. J.、Janz, N. M.(1979)。Effect of a teaching program on knowledge and complication of cardiac patients。Nursing Research,28(5),282-286。  new window
19.Lindeman, C. A.、Van Aernam, B.(1971)。Nursing intervention with the presurgical patient: The effects of structured and unstructured preoperative teaching。Nursing Research,20(4),319-333。  new window
20.Mikulaninec, C. E.(1987)。Effects of mailed prepoperative instruction on learning and anxiety。Patient Education and Counseling,10,253-265。  new window
21.Nyamathi, A.、Kashiwabara, A.(1988)。Preoperative anxiety。Official Journal of the Association of Operating Room Nurses,47(1),164-170。  new window
22.Orr, P. M.(1990)。An educational program for total hip and knee replacement patients as part of a total arthritis center program。Orthopaedic Nursing,9(5),61-86。  new window
23.Redman, B. K.(1971)。Patient education as a function of nursing practice。Nursing Clinics of North America,6(4),573-580。  new window
24.Roy, R.(1981)。Psychological preparation for surgical patients。Health and Social Work,6(1),44-49。  new window
25.Swindale, J. E.(1989)。The nurse's role in giving preoperative information to reduce anxiety in patients admitted to hospital for elective minor surgery。Journal of Advanced Nursing,14,899-905。  new window
26.Volicer, Beverly J.(1974)。Patients' perceptions of stressful events associated with hospitalization。Nursing Research,23(3),235-238。  new window
27.Wilson-Barnett, J.(1985)。Principles of patient teaching。Nursing Times,81(8),28-29。  new window
28.Wong, J.、Wong, S.(1985)。A randomized controlled trial of a new approach to preoperative Teaching and patient compliance。International Journal of Nursing Studies,22(2),105-115。  new window
29.鍾思嘉、龍長風(19840100)。修訂情境與特質焦慮量表之研究。測驗年刊,31,27-36。new window  延伸查詢new window
圖書
1.Knowles, M. S.(1980)。The modern practice of adult education: From pedagogy to andragogy。Chicago, IL:Follett。  new window
2.Webb, P.(1994)。Health promotion and patient education。London:Chapman & Hall。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE