[Improving the Accuracy of Patient Self-Care After Joint Replacement Surgery].

Q3 Nursing Journal of Nursing Pub Date : 2024-10-01 DOI:10.6224/JN.202410_71(5).09
Chen-Chan Kuo, Zi-Ting Ding, Chieh-Ling Huang, Hsiao-Yun Chien, Shu-Wei Hsu, Chiu-Tzu Lin
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Abstract

Background & problems: Joint replacement wound stitches are typically not removed until two weeks after the operation. Therefore, patients with joint replacement must be able to execute proper wound care after discharge from the hospital to reduce the risk of wound infection. Prior data from Chang Gung Memorial Hospital's orthopedics ward indicate only 69% of joint-replacement patients are able to perform wound care properly at home. Potential causes for this noted by patients include age-related forgetfulness, being unable to discern redness or swelling in the wound, and language comprehension difficulties (i.e., Taiwanese vs. Mandarin). Poor rates of wound care may also be attributable to incomplete wound care education by nursing staff and wound care education being provided without adequate practice on the day of patient discharge.

Purpose: This project was implemented to improve the accuracy of wound self-care performed by patients after joint replacement surgery and to enhance their related knowledge and wound-care technical correctness.

Resolution: A wound care education checklist, wound care cue cards, wound care video clips, wound condition red flag cue cards, and customized wound care pack were proposed and implemented.

Results: The rate of accuracy of wound self-care performance increased from 69% pretest to 98% posttest, showing the intervention to have effectively improved post-discharge wound care quality.

Conclusions: To effectively improve the post-discharge accuracy of wound self-care in patients with joint replacement, the consistency of post-surgery wound care education given by nursing staff to patients should be improved, patients should be reminded of wound assessment and care steps, and patients should be aware that wound abnormalities require an immediate return to the hospital for follow-up treatment.

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[提高关节置换手术后患者自我护理的准确性]。
背景与问题:关节置换术的伤口缝线通常在术后两周才会拆除。因此,关节置换患者出院后必须能够进行适当的伤口护理,以降低伤口感染的风险。长庚纪念医院骨科病房之前的数据显示,只有 69% 的关节置换患者能够在家中正确进行伤口护理。患者指出,造成这种情况的潜在原因包括年龄增长导致的健忘、无法辨别伤口红肿以及语言理解困难(如台语与普通话)。伤口护理率低的原因还可能是护理人员的伤口护理教育不完整,以及患者出院当天伤口护理教育没有得到充分的练习:提出并实施了伤口护理教育核对表、伤口护理提示卡、伤口护理视频短片、伤口情况红旗提示卡和定制的伤口护理包:结果:伤口自我护理准确率从测试前的 69% 提高到测试后的 98%,表明干预措施有效提高了出院后伤口护理质量:为有效提高关节置换术患者出院后伤口自我护理的准确性,应提高护理人员对患者进行术后伤口护理教育的连贯性,提醒患者伤口评估和护理步骤,并让患者意识到伤口出现异常需要立即返院进行后续治疗。
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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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