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研究生:楊貴蘭
研究生(外文):Young, Kewi
論文名稱:關節置換術病患實施復健護理方案成效探討
論文名稱(外文):The effectiveness of the Rehabilitation Nursing Protocol for the hip Replacement Patients
指導教授:高紀惠高紀惠引用關係
指導教授(外文):Kao
學位類別:碩士
校院名稱:長庚醫學暨工程學院
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:15
中文關鍵詞:復健護理方案
外文關鍵詞:Rehabilitation
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中文摘要 目前國內外對髖關節置換手術的研究大部份著重在置入物
種類、材料及術後 合併症的探討,很少有研究著重手術後患者復健過程
的評值與成效之探討。對接受髖關節 置換手術病患,臨床上尚缺乏合適
的復健護理措施,以至於手術後病患因缺乏足夠的知識 處理日常生活的
問題,而發生置入物脫位、感染、疼痛或長期的髖關節活動受限、肌肉無
力、異常步態等合併症。因此,發展有效的復健護理活動以幫助病患早日
恢復獨立功能是 值得深入探討的。本研究目的即探討施行復健護理方案
對自我照顧認知、身體活動功能進 展、遵從行為、髖關節功能與肌力進
展的影響。 本研究採準實驗設計,立意選取70位接受髖關節置換術
病患,按次分派至實驗組與對 照組各35人,實驗組住院期間實施復健護
理方案,控制組接受病房常規護理。研究結果顯 示:1.實驗組比對照組
有顯著的增加自我照顧的認知程度。2.實驗組於住院期間獨立完成 各項
活動功能的完成率比對照組高且達成日數較短,住院日數比對照組縮
短1.6日。3成出 院後規則運動與注意事項的遵從行為,實驗組比對照組
佳,並且可持續遵從達三個月。4. 實驗組在手術後第六週與三個月的髖
關節功能均比對照組有顯著增加。5.實驗組在手術後 第六週與三個月時
的髖關節肌力及不良步態均獲得顯著的改善。 本研究結果可提供給
臨床護理人員協助病患執行復健運動與身體活動進展之準則。

ABSTRACT Majority of the previous studies have focused on
the evaluations of surgical tec hniques, the type of
prosthesis and intra- postoperative complicati ons. However
only few studies evaluated the rehabilitation process. Lack of
self -care knowledge might lead to the complications of
prosthetic dislocation, infec tion, pain, continued range of
motion limitation, muscles weakness of hip and gait disorder on
the patients. Therefore, the effective rehabilitation nursing
interve ntions for restoring the independent functional
activities needed to be explored. The purpose of this study
was to investigate the effectiveness of an rehabilitation
nursing protocol on the self-care knowledge, progress of
functional activities, compliance behaviors, progress hip
function and muscle strength within three month after
discharge. A Quasi-experimental design was conducted in
this study. Seventy patientss were consecutively assigned to
experimental (n=35) or control group (n=35). The Reha
bilitation Nursing Psotocol was implemented on experimental
group whereas contr ol group received conventional routine
nursing care. The results showed that : (1) Experimental
group had greater improvement in self-care knowledge than
control group.(2) Experimental group presented higher
performed rate and shorter days to accomplish in 9 critical
function activities than control group.(3) Experimental group
had higher compliance behaviors to perf orm rehabilitation
exercise compared to control group within three after discharge.
(4) Experimental group demonstrated significant progress in hip
functional activ ities than control group at six weeeks and
three months after discharge. (5) Expe rimental group reflected
significant progress in hip muscle strength and Trendele nburg'
s gate compared to control group at six weeks and three months
after discha rge. The nursing protocol of this study may
offer an guideline for the clinical st aff to assist patients
undergoing hip replacement to perform rehabilitation exerc ise.

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