| Autor: |
Wong, J., Wong, S., Brooks, E., Yabsley, R.H. |
| Zdroj: |
Journal of Orthopaedic Nursing; November 1999, Vol. 3 Issue: 4 p210-219, 10p |
| Abstrakt: |
The study addressed two research questions: Were patients 'home-ready' at the time of discharge from the acute care hospital following total hip replacement (THR) surgery? and what was their pattern of recovery? The research was descriptive in design, using a sample of 50 post THR patients. Four days after surgery, nurses assessed patient's home-readiness using the Post Total Hip Replacement Discharge Scoring Scale (PTHRDSS). They were considered hypothetically 'home-ready' if they scored >-25 on the PTHRDSS, and 'not home-ready' if their total score was <25. Patients completed a Linear Analogue Coping Score before they were discharged from hospital. One month after discharge their post-hospital recovery was evaluated by the research assistant. The study showed that the hypothetically 'home-ready' patients were younger, had better postoperative functional and psychological status and were discharged to home on day 8. A substantial proportion (35%) of patients who were hypothetically 'not home-ready' were sent directly to their home on day 9 after THR. Hip function, Activities of Daily Living (ADLs), age and psychological status were significant factors related to home-readiness, whereas social support and hip function were significant determinants of recovery. It was concluded that psychosocial factors in addition to the functional status should be considered when assessing the patient's 'home-readiness' and recovery after THR. |
| Databáze: |
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