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

H. Dan, Huijuan Qian, Lingling Zhou, Sanlian Hu
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Abstract

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. Key words: Aged; Hip fractures; Arthroplasty, replacement, hip; Continuous nursing; Need; Qualitative research
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老年髋部骨折患者髋关节置换术后出院时持续护理需求的定性研究
目的探讨老年髋部骨折患者髋关节置换术后出院时的持续护理需求。方法自2019年1月至3月,采用有针对性的抽样方法,选择15例老年髋部骨折患者行髋关节置换术。对出院的患者进行了半结构化访谈。采用Colaizzi七步分析法进行数据分析,了解需求。结果通过分析、整理和提取,发现术后患者关心的三个主题。这些主题包括健康教育的需要、改善不健康心理和保健服务。结论髋关节置换术后的髋部骨折患者存在着生理、心理、社会等方面的负担和需求。护士应更加关注这些患者,对出院患者进行有针对性的干预和全面的健康教育,以提高他们的自我护理能力。关键词:老年;髋部骨折;关节成形术、置换术、髋关节;持续护理;需要;定性研究
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