患者依从性与全髋关节置换手术后疗效之间的关系

Noha Ashraf Ahmed, Sohair Tawfeek Ahmed, Dalia Abdallah Abdelatief, Reham Adel Ebada
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引用次数: 0

摘要

背景:全髋关节置换术是骨科手术中最具成本效益、最成功的手术之一。它能提供可靠的疗效,特别是缓解疼痛、恢复功能和全面改善患者的健康状况。研究目的评估患者的依从性与全髋关节置换手术后效果之间的关系。研究设计:采用描述性相关研究。研究地点研究在艾因夏姆斯大学附属医院 El Demerdash 医院的骨外科(2、3)和关节门诊进行。研究对象:全髋关节置换术后患者的目的性样本(50 例)。工具:本研究使用了四种工具:1)患者结构式访谈问卷;2)患者关节置换知识工具;3)患者依从性评估工具。结果:68.0%的受试者对关节置换术的总体知识水平不满意,80.0%的受试者对全髋关节置换术后不依从,46%的受试者在全髋关节置换术后的总体效果较轻。此外,患者的总体知识水平、依从性水平与全髋关节置换手术后的总体效果之间存在高度统计学意义上的显著关系。结论研究结果表明,患者对全髋关节置换术后的知识水平总分和依从性总分呈正相关。同时,总结果得分与全髋关节置换术后知识水平和依从性总分之间呈负相关。建议:编制一份简化而全面的指南手册或小册子,说明患者在全髋关节置换手术后可能需要的所有说明。
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Relation between Patients’ Compliance and Their Outcomes Post Total Hip Replacement Surgery
Background : Total hip replacement is one of the most cost-effective and consistently successful surgeries performed in orthopedics. It provides reliable outcomes specifically pain relief, functional restoration, and overall improved patient's health status. Aim of the study: Assessment of relation between patients’ compliance and their outcomes post total hip replacement surgery . Research design: Descriptive correlation study was utilized . Setting: The study was conducted at orthopedic surgery departments (2, 3) and joint outpatient clinic in El Demerdash hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample of (50) patients post total hip replacement. Tools: Four tools were used in the current study: 1) Patient structured interview questionnaire, 2) Patients’ knowledge regarding joint replacement tool, 3) Patients’ compliance assessment tool . And 4) Western Ontario and Mac Master Universities Arthritis Questionnaire Results: (68.0%) of the studied patients have unsatisfactory total level of knowledge regarding the joint replacement, (80.0%) of them were non-compliant regarding post total hip replacement surgery, Also, (46%) of them had mild total outcomes post total hip replacement. Also, there was a highly statistically significant relation between total patient's level of knowledge, level of compliance and total outcomes post total hip replacement surgery. Conclusion: It can be concluded that, there were positive correlation between total level of knowledge score and total compliance score regarding post total hip replacement surgery among the studied patients. Meanwhile, there was a negative correlation between total outcomes score and total level of knowledge and compliance score regarding post total hip replacement surgery. Recommendations: A simplified and comprehensive guidelines booklet or pamphlet illustrating all instructions the patient may need post total hip replacement surgery.
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