关键词: functional status patient readmission randomized trial self‐efficacy total knee arthroplasty transitional care model

来  源:   DOI:10.1111/ijn.13283

Abstract:
OBJECTIVE: This study has aimed to assess the effectiveness of the transitional care model (TCM) on functional status, perceived self-efficacy and healthcare utilization in patients undergoing total knee arthroplasty (TKA).
METHODS: This randomized controlled study was conducted between February and November 2021 in a public hospital. The study randomly assigned patients to either a 6-week \'TCM\' program or usual care. The sample size was n = 70, with each group comprising 35 individuals. Patient outcomes, including self-efficacy, functional status and healthcare service readmission rates, were monitored for TKA patients.
RESULTS: Nursing care based on the \'TCM\' was found to enhance functional status and increase the level of self-efficacy among TKA patients, leading to a decrease in healthcare service readmissions.
CONCLUSIONS: The study recommends preparing patients and their families for the preoperative and postoperative processes. It emphasizes the importance of providing necessary training and consultancy services under the leadership of orthopaedic nurses responsible for TKA patient care, guided by the principles of TCM.
摘要:
目的:本研究旨在评估过渡护理模式(TCM)对功能状态的有效性,全膝关节置换术(TKA)患者的自我效能感和医疗保健利用。
方法:这项随机对照研究于2021年2月至11月在一家公立医院进行。该研究将患者随机分配到为期6周的“中医”计划或常规护理中。样本量为n=70,每组包括35个个体。患者结果,包括自我效能,功能状态和医疗服务再入院率,对TKA患者进行监测。
结果:发现基于“中医”的护理可以增强TKA患者的功能状态并提高自我效能水平,导致医疗服务再入院人数减少。
结论:本研究建议患者及其家属做好术前和术后的准备。它强调在负责TKA病人护理的骨科护士的领导下提供必要的培训和咨询服务的重要性,以中医原理为指导。
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