背景:老年人股骨颈骨折的发生率逐年增加。积极合理的术后康复锻炼可以在很大程度上恢复老年股骨颈骨折患者的活动度,同时避免卧床不起的并发症和再骨折。本研究探讨了观点,经验,以及医务人员对实施情况的建议,存在的问题,促进因素,老年股骨颈骨折患者术后康复锻炼的阻碍因素。最终目标是进一步优化康复锻炼计划,并加快患者的这一过程。
方法:定性,进行了描述性现象学研究。采用目的抽样法共抽取21名临床医务人员进行半结构式访谈。采用内容分析法对收集到的访谈资料进行整理和分析。
结果:总共定义了2个主题和6个子主题。主题包括在实施康复练习期间发生的多种障碍以及医务人员对这些练习的科学认知。受访者发现患者在康复锻炼过程中的主动性不足,不能保证演习的全面性和连续性,教科书理论和临床实践之间的统一是不完整的。此外,受访者认为他们的专业素质应该是优秀的,但是人员配备和组织管理需要优化,并且这种支持是实施康复活动所必需的。
结论:本研究调查了医务人员在老年股骨颈骨折患者术后康复锻炼过程中的意见和经验。合作努力应充分参与医院,社区,和家庭,加强健康教育与患者需求的一致性,通过完善课程和教学体系,推进综合医学模式的科学发展,大大提高了医学科技水平。本研究将为今后专业的建立提供有价值的参考,以及为老年股骨颈骨折患者量身定制的个性化康复计划。
BACKGROUND: The incidence of femoral neck fractures in older adults is increasing each year. Active and reasonable postoperative rehabilitation exercises can restore the activity of geriatric patients with femoral neck fractures to a great extent, while also avoiding bedridden complications and re-fractures. This
study explores the perspectives, experiences, and recommendations of medical staff regarding the implementation status, existing problems, promoting factors, and hindering factors of post-surgical rehabilitation exercises for geriatric patients with femoral neck fractures. The ultimate goal is to further optimize rehabilitation exercise programs and to expedite this process for patients.
METHODS: A qualitative, descriptive phenomenological
study was conducted. A total of 21 clinical medical staff were selected using the purposive sampling method for semi-structured interviews. A content analysis method was used to collate and analyze the collected interview data.
RESULTS: A total of 2 themes and 6 sub-themes were defined. The themes consisted of multiple obstacles occurring during the implementation of rehabilitation exercises and the scientific cognition of medical staff on these exercises. Respondents found that patient initiative during rehabilitation exercises was insufficient, that the comprehensiveness and continuity of exercises could not be guaranteed, and that unification between textbook theory and clinical practice was incomplete. Moreover, respondents believed that their professional quality should be excellent, but that staffing and organizational management required optimization, and that support was required for the implementation of rehabilitation exercises.
CONCLUSIONS: This
study investigated the opinions and experiences of medical staff during postoperative rehabilitation exercises in geriatric patients with femoral neck fractures. Collaborative efforts should fully engage hospitals, communities, and families, enhance the alignment of health education with patient needs, advance the scientific development of an integrated medical model by refining the curriculum and teaching system, and significantly elevate the level of medical science and technology. This
study will serve as a valuable reference for the establishment of future professional, and personalized rehabilitation programs tailored for geriatric patients with femoral neck fractures.