摘要
目的通过对人工髋关节置换术出院患者进行SWOT分析,采取个性化健康教育方案,评价康复及心理情况,促进患者回归社会。方法将62例人工髋关节置换术出院患者随机分成观察组和对照组,每组各31例。对照组采用常规出院健康宣教方案,观察组在常规方案的基础上,通过对患者进行个体化SWOT分析,制定并实施健康教育方案。随访1年,分别评价2组患者出院前后康复知识知晓及运用程度、对护理工作满意度、生活自理能力、焦虑、自尊等状况。结果 2组患者在康复知识知晓率及运用程度、满意度、并发症、自理能力方面均有明显改善(p<0.05),随访1年后观察组在康复知识知晓率、满意度及自理能力和自尊程度均高于对照组(p<0.05);对照组在焦虑程度明显高于观察组(p<0.05)。结论将SWOT分析法运用于人工髋关节置换术出院患者的院外护理中,制订有针对性的护理方案,对促进患者整体康复、回归社会有重要意义。
Objective：To study the use of SWOT analysis in total hip replacement discharged patients,and take personal health education programs,evaluate the circumstances to promote the patients to return to society.Methods：62 cases of total hip replacement patients discharged from hospital were randomly divided into observation group and control group,the control group took conventional hospital health education program,the observation group took individual SWOT analysis based on regular program,and then developed and implemented the health education program.Follow-up year,two groups of patients were evaluated at the awareness and use of rehabilitation and utilization knowledge,nursing job satisfaction,self-care ability,anxiety and self-esteem situation before and after the discharging.Results：The two groups of patients at the rehabilitation and awareness rate of knowledge,the degree of satisfaction,complications and self-care ability have significantly improved（p0.05）,follow-up year later,the observation group at rehabilitation knowledge,satisfaction and self-care ability and self-esteem were higher than the control group（p0.05）;the control group at the level of anxiety was significantly higher than the observation group（p 0.05）.Conclusion：SWOT analysis will be applied in total hip replacement patients discharged from hospital care,making individual nursing plans is benefit to promote the overall rehabilitation and returning to society of patients.
