| Summary: | 碩士 === 長庚醫學暨工程學院 === 護理學研究所 === 85 === 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.
|
|---|
