内容标题38

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                提高髋关节置※换术患者功能锻练依从率
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                发布人:yaot 发布时间:2019/6/19 17:30:21  浏览次数:1308次
                【字体: 字体颜色

                 

                ——程金焱 沈慧 陈晓虹 邱慧琳


                【摘要】患者功能锻练依从性直接影响疾病康复计划的這個仇执行。对髋关节置◣换术患者功能锻炼依从率低的现 呼状进行原因分析,认为无功能锻炼规范标准、无功能锻炼质控标准是问题发∴生的主要原因。对此,从制定并落实髋关节置换术患者功能锻练规就讓你們知道我東嵐星范标准和质控标准两方面改进,使髋关节置换术患者╳功能锻练依从率由37.5%提高至81.82%,取得了较♀满意效果。
                【关键词】QC小组活动;患者;髋关节置换术;功能锻练;依从率
                中图分类号:R197.3文献标识码: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选择课题

                人工髋关节置换术是通过外科技术把人工关节假体我程家上上下下所有人植入人体内,用以解除患時候者病痛、纠正畸形、恢复功能的一种手术治疗方法[1]。手术成㊣功的关键在于术后肢体功能恢复状况。关节置换术早期的康复训练⌒ 是保证和巩固手术效果,促进功能康复的重要方法[2]。患者功能锻炼依从性直接影▽响康复训练计划的落ξ实[3]。调查表明,海口市人民ξ医院骨科中心2017年下半年髋关节置换术患者功再蘇醒小唯能锻练依从率平均∩值仅48.39%,急需改进。
                名词定义:依从性是指患◥者对规定执行的医疗护理或科研试验措施接受和服从的客观行★为和程度[4]。目前,国▂内外尚无统一评价骨科患者功能锻练依从性的标准。本研究参考相↘关文献[3,5-6],从每天锻炼次数∩ㄨ、方法、能否主动锻炼、按量完成4方面,将功能锻练「依从性分为完全依从、部分依从、不依从3级。完全依从为患者〇主动性、积极性、自觉性高,主动按时、按次、按量完♀成规定动作,完成量大于目标兄弟這口未免開量的75%,并且方法正确;部分依从为患者主动●性、积极性一般,需要家属@或医护人员督促、劝说方能完成规定动∞作,完成量为目标量♀的25%~75%;不依从为患者有抵触情绪,拒绝执行或自行减少规定●动作,完成量小于目标量♀的25%。
                衡量指标:髋关节置换术患者功能锻练依从率=调查期间髋关节图1 髋关节置换术患者功能锻练依从率低的原因∏分析置换术患者功能锻练完全依从例数÷调查期间髋关节置换术患者总例数×100%。
                ……
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