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Using the knowledge-to-action framework with joint arthroplasty patients to improve the quality of care transition: a quasi-experimental study

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单位: [1]Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China [2]Bone Necrosis and Joint Preservation Reconstruction Center, China-JapanFriendship Hospital, Beijing, China [3]Department of Bone and Joint Surgery,China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, ChaoyangDistrict, Beijing 100029, China [4]Department of Nursing, China-JapanFriendship Hospital, Beijing, China
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关键词: Care transition Quality Quality improvement Knowledge-to-action framework Arthroplasty

摘要:
Background Total joint arthroplasty is a mature and effective treatment for end-stage osteoarthritis. Assisting patients in completing the transition of the perioperative period and improving their satisfaction are important aspects of quality of care. This study aimed to investigate an intervention to improve the quality of care transition for joint arthroplasty patients informed by the knowledge-to-action (KTA) framework. Methods In this quasi-experimental study, a total of 160 patients who underwent joint arthroplasty at a tertiary hospital from September to November 2018 and January to March 2019 were selected as participants using convenience sampling. The control group received routine medical care, while the observation group received medical care based on the KTA framework. Transitional care quality was assessed by the Care Transition Measure (CTM), with follow-up 1 week after discharge. Results The observation group fared significantly better than the control group on general self-care preparation and written plan dimensions, as well as the quality of care transition. There was no significant difference in doctor-patient communication or health monitoring. Conclusions The KTA framework provides a logical, valuable tool for clinical work. Using the KTA framework for joint arthroplasty patients helps to improve the quality of care transition, which is worth promoting.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 骨科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 骨科
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出版当年[2018]版:
Q2 ORTHOPEDICS
最新[2023]版:
Q1 ORTHOPEDICS

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2018版] 出版当年五年平均[2014-2018] 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China [2]Bone Necrosis and Joint Preservation Reconstruction Center, China-JapanFriendship Hospital, Beijing, China [3]Department of Bone and Joint Surgery,China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, ChaoyangDistrict, Beijing 100029, China
通讯作者:
通讯机构: [1]Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China [2]Bone Necrosis and Joint Preservation Reconstruction Center, China-JapanFriendship Hospital, Beijing, China [3]Department of Bone and Joint Surgery,China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, ChaoyangDistrict, Beijing 100029, China
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