老年髋部骨折行髋关节置换术后患者出院时延续护理需求的质性研究

目的深入了解老年髋部骨折行髋关节置换术后患者出院时的延续护理需求。方法采用目的抽样法,于2019年1—3月对15例接受全髋关节置换的老年髋部骨折患者出院时进行半结构式访谈,并用Colaizzi 7步法分析资料,了解其需求问题。结果通过分析、整理和提炼,得出患者术后关心的3个主题,分别为对健康教育的需求、对改善不良心理的需求、对卫生服务资源的需求。结论接受全髋关节置换术的髋部骨折患者在生理、心理、社会等方面存在诸多负担与需求。护理人员应加强对此类患者的关注,做好针对性的疏导干预,为出院患者提供详尽的健康教育,以提高其自我照护能力。

Continuous nursing needs at discharge among geriatric hip fracture patients with hip arthroplasty:a qualitative research

Objective To explore the continuous nursing needs at discharge among geriatric hip fracture patients with hip arthroplasty.Methods From January to March 2019,this study selected 15 geriatric hip fracture patients with hip arthroplasty by purposive sampling.Semi-structured interview was carried out for those patients at discharge.Colaizzi 7-step analysis was used to data analysis to understand the needs.Results By analyzing,marshaling and extracting,there were three themes concerned by postoperative patients.Those themes included the needs for health education,improving unhealthy psychology and health services.Conclusions Hip fracture patients with hip arthroplasty have many burdens and needs for physiology,psychology and society.Nurses should pay more attention to those patients,and provide targeted intervention as well as thorough health education for discharged patients to improve their self-care abilities.