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류경애 ( Ryu Kyong-Ae ) - 지방공사 부산의료원
김영혜 ( Kim Young-Hea ) - 부산대학교 의과대학 간호학과
이화자 ( Lee Hwa-Za ) - 부산대학교 의과대학 간호학과
김명희 ( Kim Myung-Hee ) - 부산대학교 간호학과
강인숙 ( Kang In-Soon ) - 부산대학교 간호학과
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Abstract
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Purpose: The purpose of this study is to examine how well patients who had hip arthroplasty comply with medical regimens given to them after the operation.
Method: The subjects of the study were patients who had arthroplasty at P Hospital between April 1. 2001 and August 30, 2002. 20 patients of the subjects experienced complications after the operation and the other 20 did not. Data from a survey using the qustionnaire were statistically analyzed in terms of real number, percentage point, mean and standard deviation by using x²-test. t-test and ANOVA.
Result: 1) the surveyed patients were significantly different in the compliance of medical regimen among them according to their education background as one of the subjects general characteristics. 2) It was found that the group of complication was higher in the compliance of medical regimen than that of non-complication. The two groups showed statistically significant difference with each other in the degree of compliance with therapeutic instructions than the experimental group in terms of the maintenance of abduction after the operation, training instructions on step-by-step basis, urination cotrol on bed, accurate use of crutch, compliance with medication, balance among medical treatment, training, leisure, rest and nutrition. instructions by physicians, nurses and physical therapists, use of low armchairs and toilet bowels and no bending of the body forward, and use of a non-operated leg in case of go upstairs or downstairs.
Conclusion: It seems necessary to develop systematic and sessional education programs for improving the compliance of medical regimen. ultimately reducing complications following hip arthroplasty.
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KeyWords
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인공고관절, 치환술, 치료지시 이행
Hip arthroplasty, Compliance of medical regimen
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원문 및 링크아웃 정보
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등재저널 정보
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