Hip precautions following primary total hip replacement: a national survey of current occupational therapy practice
Hip precautions following primary total hip replacement: a national survey of current occupational therapy practice
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DOI：
10.4276/030802212x13336366278059
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发表时间：
2012-04-01
影响因子：
1.3
通讯作者：
Sinclair, Emma
中科院分区：
文献类型：
--
作者：
Drummond, Avril;Coole, Carol;Sinclair, Emma
背景：本研究的目的是调查职业治疗师在选择性全髋关节置换术（THR）后的日常工作。研究的问题是“在英国（UK）职业治疗中，对原发性THR后髋关节预防措施的建议是什么？”方法：设计问卷并进行试验。经过轻微修改后，263份调查问卷被寄给了英国的职业治疗师。结果：对来自英国65个郡的174名职业治疗师的反馈进行了分析。关于术后应避免哪些动作、与患者讨论和练习的活动以及提供的设备，治疗师普遍达成共识。然而，在采取预防措施的理由、采取预防措施的时间尺度以及与患者相处的时间长短（与面对面接触和给药有关）方面存在差异。讨论和结论：尽管现在对THR后职业治疗的内容了解更多，但本研究强调了在使用预防措施背后的原因方面存在分歧和缺乏共识。现在有必要评估预防脱位是否有效，本研究为这样做提供了重要的第一步。
Background: The aim of this research was to investigate the day-to-day work of occupational therapists with patients following elective total hip replacement (THR). The research question was 'What is routine practice in United Kingdom (UK) occupational therapy in advising on hip precautions following primary THR?'Method: A questionnaire was designed and piloted. Following minor revisions, 263 questionnaires were posted to occupational therapists in the UK.Results: Responses were analysed from 174 occupational therapists from 65 counties in the UK. There was generally consensus from therapists about which movements should be avoided postoperatively, on the activities discussed and practised with patients and on the equipment supplied. However, there was variation in the reasons given to justify precautions, on the timescales for precautions to be followed and on the amount of time spent with patients, in relation to both face-to-face contact and administration.Discussion and conclusion: Although more is now known about the content of occupational therapy following THR, this research has highlighted areas of disagreement and a lack of consensus in the reasoning behind using precautions. There is now a need to evaluate whether precautions are effective in preventing dislocation and this study provides an important first step in doing so.