With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relati...With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.展开更多
文摘With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.
