门诊家庭物理治疗:全关节置换术的一种新的术后康复设置。

IF 0.8 4区 医学 Q4 NURSING
Orthopaedic Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI:10.1097/NOR.0000000000001106
Brittany Benson, Donna Williams
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引用次数: 0

摘要

随着微创手术的不断发展,全关节置换术(TJA)手术在门诊手术中心(ASCs)和门诊医院的实施率越来越高。在不影响安全性和临床结果的情况下降低手术成本是使用ASCs的几个驱动因素。同样,也可能有办法降低传统家庭保健的康复费用。研究继续支持TJA后早期治疗干预的必要性。从历史上看,接受全关节置换术的患者已经出院到熟练的护理机构或家庭保健。随着tja作为门诊手术的频率,有机会改变术后康复的动态。手术和麻醉的进步使TJA患者的治疗方法得到了优化。由于技术的进步,植入物的持续时间更长,因此患者正在考虑在更年轻的时候更换。这些因素为缩小市场差距提供了机会,创造了一个门诊家庭物理治疗项目。在计划全关节手术的初始阶段,在家进行物理治疗是在手术前开始和安排的。这减轻了可能影响康复过程延迟的变量,这些延迟可能会导致患者的负面结果、不满和再次入院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outpatient in the Home Physical Therapy: A New Postoperative Rehabilitative Setting for Total Joint Replacements.

Total joint arthroplasty (TJA) procedures are being performed at higher rates at ambulatory surgery centers (ASCs) and outpatient hospitals as surgeries continue to progress with minimally invasive approaches. Reducing surgical costs without compromising safety and clinical outcomes are a few driving factors for utilizing ASCs. Similarly, there may be avenues to reduce the rehabilitative costs of traditional home healthcare. Research continues to support the need for early therapeutic interventions after TJA. Historically, patients undergoing total joint replacements have been discharged to a skilled nursing facility or home healthcare. With the frequency of TJAs performed as outpatient procedures, there is an opportunity to change the dynamic of postoperative rehab. Advancements in surgery and anesthesia have led to optimization for TJA patients. As a result of advancements, implants are lasting longer so patients are considering replacements at younger ages. These factors present an opportunity to close a gap in the market, creating an outpatient home physical therapy program. During the initial phases of planning for total joint surgery, physical therapy in the home is initiated and scheduled prior to surgery. This mitigates variables that may affect delays in the rehabilitative process which can drive negative patient outcomes, dissatisfaction, and hospital readmittance.

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来源期刊
Orthopaedic Nursing
Orthopaedic Nursing 医学-护理
CiteScore
0.60
自引率
14.30%
发文量
132
审稿时长
>12 weeks
期刊介绍: Orthopaedic Nursing is an international journal providing continuing education for orthopaedic nurses. Focusing on a wide variety of clinical settings - hospital unit, physician"s office, ambulatory care centers, emergency room, operating room, rehabilitation facility, community service programs, the client"s home, and others – Orthopaedic Nursing provides departmental sections on current events, organizational activities, research, product and drug information, and literature findings. Articles reflect a commitment to professional development and the nursing profession as well as clinical, administrative, academic, and research areas of the orthopaedic specialty. Official Journal of the National Association of Orthopaedic Nurses (NAON)
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