Investigation of current status and influencing factors of productive engagement of elderly patients under-going unilateral total hip arthroplasty in postoperative rehabilitation period
10.3761/j.issn.0254-1769.2025.18.008
- VernacularTitle:老年单侧全髋关节置换患者康复期参与生产性活动的现状及影响因素研究
- Author:
Ying CHEN
1
;
Yuanyuan YIN
;
Fengqin XU
Author Information
1. 222000 连云港市第一人民医院关节外科
- Publication Type:Journal Article
- Keywords:
Unilateral Total Hip Arthroplasty;
Aged;
Productive Engagement;
Root Cause Analysis;
Nurs-ing Care
- From:
Chinese Journal of Nursing
2025;60(18):2223-2230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of productive engagement of elderly patients undergoing unilateral total hip arthroplasty in postoperative rehabilitation period.Methods From May to Novermber 2024,242 elderly patients undergoing the first total hip arthroplasty from the joint surgery department of Nanjing Medical University Kangda College First Affiliated Hospital were selected as investigation subjects.They were investigated in postoperative rehabilitation period after receiving rehabilitation training for a week at getting out of bed for the first time after surgery by the Basic Information Questionnaire,Productive Engagement Scale,Improved Barthel Index Rating Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale,Fall Risk Perception Scale for Community-dwelling Older Adults,Tampa Rating Scale(17 Item Version),Perceived Social Support Scale and Social Isolation Scale for the Elderly.Results In the 230 valid questionnaires,the score of productive engagement of elderly patients undergoing unilateral total hip arthroplasty was(31.13±3.69)points in postoperative rehabilitation period.The Linear regression analysis showed that age,education level,place of residence,normal BMI,number of coexisting chronic diseases,time after surgery,ability of self-care,fall risk perception,Tampa,perceived social support and social isolation were all significant influencing factors for productive engagement of elderly patients undergoing unilateral total hip arthroplasty in postoperative rehabilitation period(P＜0.05).Conclusion The level of productive engagement of elderly patients undergoing unilateral total hip arthroplasty in postoperative rehabilitation period is relatively low.Their productive engagement were influenced by many factors.Clinical medical staff should develop intervention plans based on such influence factors to improve their level of productive participation.
