| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所 === 89 === ABSTRACT
The purpose of the study was to explore the outcomes of the Activity of Daily Living (ADL) education program for the patients with hip replacement on the ADL functioning, patient satisfaction with ADL performance, patient satisfaction with education and assistive devices used. Sixty-three hip replacement patients from three medical centers and a certain regional hospital, with a total of eight orthopedic wards in southern Taiwan were recruited to be the subjects according to a convenience sampling based on Quasi- experimental research design. They were assigned into the experimental group and the control group depending on operative schedules, with 30 patients in the experimental group and 33 patients in the control group. For four times the experimental group received routine ward care and ADL education program 20-30 minutes each time in the hospital stay and the control group received routine ward care. Measurement tools included the checklist of assistive devices, modified Barthel Index, Patient Satisfaction with the ADL Performance Scale and Patient Satisfaction with the Education Scale. The collected data were analyzed by using Chi-square, independence t-test, Mann-Whitney U test, Two-way ANOVA with Repeated measures and Analysis of Covariance (ANCOVA). Results of the study showed that the experimental group had significantly less decreased ADL function level than the control group in the 5th postoperative day and had significantly improved ADL functional level in the two weeks after being discharged from the hospital. The experimental group subjects had significantly higher satisfaction with ADL performance and education than the control group. The experimental group subjects had a significantly higher percentage use of the long-handled dressing stick and commode chair than the control group in the 5th postoperative day and the experimental group subjects had a significantly higher percentage use of the long-handled dressing stick, commode chair, long- handled bath brush and abduction pillow than the control group in the two weeks after being discharged from the hospital. The findings may suggest concret clinical pathways for the ADL education, and may serve as a reference in the course of orthopedic nursing, in order to enhance the quality of care for patients with hip replacement.
Key words: hip replacement, ADL, patient education, satisfaction, assistive devices.
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