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首页> 外文期刊>Nursing research >Randomized clinical trial testing efficacy of a nurse-coached intervention in arthroscopy patients.
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Randomized clinical trial testing efficacy of a nurse-coached intervention in arthroscopy patients.

机译：护士指导的关节镜检查患者干预的随机临床试验测试功效。

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BACKGROUND: Emerging data suggest limited patient preparation for ambulatory surgery, decreased access to healthcare providers postoperatively, increased patient and family anxiety, and increased patient suffering. Thus, there is a need for nursing interventions to improve the postoperative experience for patients and families. OBJECTIVE: The purpose of this study was to test the hypothesis that ambulatory arthroscopic surgery patients who receive a nurse-coached telephone intervention will have significantly less symptom distress and better functional health status than a comparable group who receive usual practice. METHODS: The study sample in this randomized clinical trial with repeated measures was 102 participants (52 in the intervention group and 50 in the usual practice group) drawn from a large academic medical center in the Northeast United States. Symptom distress was measured using the Symptom Distress Scale, and functional health was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey General Health Perceptions and Mental Health subscales. RESULTS: Multivariate analysis of covariance, with three repeated measures of the Symptom Distress Scale (baseline, 72 hours postsurgery, and 1 week postsurgery) and five covariates, was used to test the hypothesis. After removal of the covariate influence, intervention participants had significantly less symptom distress at 72 hours and 1 week postsurgery and significantly better overall physical and mental health at 1 week postsurgery than those who received usual practice. DISCUSSION: The findings suggest that telephone calls from nurses during the immediate postoperative period resulted in improved patient outcomes, namely, less symptom distress and better physical and mental health states. In future research, the study sample should be expanded to older and more diverse patients.
机译：背景：新兴数据表明，患者为门诊手术做准备的情况有限，术后难以获得医疗保健人员的服务，增加了患者和家庭的焦虑，并增加了患者的痛苦。因此，需要护理干预以改善患者和家庭的术后体验。目的：本研究的目的是检验以下假设，即接受护士指导的电话干预的非卧式关节镜手术患者的症状困扰和功能健康状况显着低于接受常规治疗的同类人群。方法：该重复性随机临床试验的研究样本为102名参与者（干预组52名，常规治疗组50名），来自美国东北部大型学术医学中心。使用症状困扰量表测量症状困扰，并使用医学成果研究36项简短健康调查总体健康认知和心理健康分量表测量功能健康。结果：对协方差进行了多变量分析，采用了三项重复的症状困扰量表（基线，术后72小时和术后1周）和五个协变量，以检验该假设。去除协变量影响后，与接受常规治疗的参与者相比，干预参与者在术后72小时和1周的症状困扰明显减少，并且在术后1周的整体身心健康状况明显改善。讨论：研究结果表明，术后不久护士打来的电话改善了患者的预后，即减轻了症状困扰，改善了身心健康状况。在未来的研究中，研究样本应扩大到年龄更大，种类更多的患者。

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