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                提高髖關節置換突破吧術患者功能鍛練依從率
                分享到:
                發布人:yaot 發布時間:2019/6/19 17:30:21  瀏覽次數:999次
                【字體: 字體顏色

                 

                ——程金焱 沈慧 陳曉虹 邱慧琳


                【摘要】患者功能鍛練依從性直接影響¤疾病康復計劃的執行。對髖關節置換術患者功能鍛煉依從率低的現狀進行♀原因分析,認為無功能鍛煉規範標準、無功能鍛煉質控標準是問題發生的主要原因。對此,從制定並落實髖關節置熊圖騰換術患者功能鍛練■規範標準和質控標準兩方面改進,使髖關節置換術患沒入她者功能鍛練依從率由37.5%提高至81.82%,取得了較滿意效果。
                【關鍵詞】QC小組活動;患者;髖關節置換術;功能鍛練;依從率
                中圖分類號:R197.3文獻標識碼:B
                Improving the Functional Exercise Compliance Rate among Patients with Hip Replacement/CHENG Jinyan,SHEN Hui,CHEN Xiaohong,et al.//Chinese Health Quality Management,2019,26(3):102-105
                AbstractPatient functional exercise compliance directly affects the implementation of disease rehabilitation program. The reasons for the low compliance rate of functional exercise in patients with hip replacement were analyzed. It was considered that no functional exercise standard and no functional exercise quality control standard were the main reasons for the problem. Improvement was made from the development and implementation of hip replacement surgery functional exercise standard and quality control standard which made the hip replacement patients functional exercise compliance rate increased from 37.5% to 81.82%, and achieved satisfactory effect.
                Key wordsQC Group Activities;Patients; Hip Replacement; Functional Exercise; Compliance Rate
                Firstauthor's addressHaikou Municipal People's Hospital and Haikou Hospital Affiliated to Xiangya School of Medicine, Central South University, Haikou,Hainan,570208, China


                1選擇課題

                人工髖關節置換術是通過】外科技術把人工關節假體植入人體把死神之左眼包裹了起來內,用以解除患者病痛、糾正畸形、恢復功能的一⊙種手術治療方法[1]。手術成功的關鍵在於術後肢體功能恢復狀況。關節置換術早〗期的康復訓練是保證和鞏固手』術效果,促進功能康復的重要可又很是猶豫方法[2]。患者@ 功能鍛煉依從性直接影響康復訓練計劃的落實[3]。調查表明,海口市人民醫院骨科中心2017年下半年髖關節置換術患者功能鍛練依從率平均值僅48.39%,急需改進。
                名詞定義:依從性是指患者對規定執行的醫療護理∮或科研試驗措施接受和服從的客 就是這時候觀行為和程度[4]。目前,國內外尚無統〇一評價骨科患者功能鍛練依從性的影響標準。本研究參考相關文獻[3,5-6],從每天鍛煉◥次數、方法、能否主動鍛煉、按量完成4方面,將功能鍛練依從性分為完全依@從、部分依從、不依從3級。完全依從為患者主動性、積極性、自覺性高,主動按時、按次、按量完成規定動作,完成量大於目標量的75%,並且方法正確;部分依從為患者主動性、積極性一般,需要家屬或醫護人員督東方促、勸說方能完成規定動♀作,完成量為目標量的25%~75%;不依從為患者有抵觸情緒,拒絕執行或自行減少規定動作,完成量小於目標量的25%。
                衡量指標:髖關節置換術患者功能鍛練依從率=調查▃期間髖關節圖1 髖關節置換術患者功能鍛練依從率低的原因分析置換術患者功能鍛練完全依從例∞數÷調查期間髖關節置換術患者總例數×100%。
                ……
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