Perspectives in Nursing Science

  • 제18권1호
  • /
  • Pages.10-15
  • /
  • 2021
  • /
  • 2288-2898(pISSN)
  • /
  • 2288-7687(eISSN)
서울대학교 간호과학연구소 (The Research Institute of Nursing Science Seoul National University)
권호 표지
DOI QR코드

DOI QR Code

근골격계 수술 아동의 퇴원교육 요구에 대한 고찰

A Review of Discharge Education Needs of Children after Musculoskeletal Surgery

  • 투고 : 2021.04.08
  • 심사 : 2021.04.22
  • 발행 : 2021.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study is to evaluate the current status of discharge education and nursing needs of children after musculoskeletal surgery. Methods: The literature from research databases was reviewed and analyzed (using PubMed, RISS review, KISS, and Dbpia). Results: Children who have undergone musculoskeletal surgery face physical challenges due to the effects of splints and immobilization, and experience pain for a long time. Therefore, home care after discharge is of paramount importance in these cases. The discharge education needs of each patient vary with regard to the topic and period. Discharge education should be systematic and consistent, with an emphasis on understanding the needs of the patients and parents. Conclusion: While there are studies on the nursing needs of adult musculoskeletal surgery patients at discharge, studies on discharge nursing needs in children who have undergone musculoskeletal surgery are still insufficient. It is necessary to specifically identify the educational needs of parents of children undergoing musculoskeletal surgery. Interventions that improve the voluntary participation of patients and parents in active self-care need to be developed.

키워드

참고문헌

  1. National Health Insurance Service. Main surgery statistical yearbook for 2017 [Internet]. Wonju (Korea): National Health Insurance Service; 2017 [cited 2021 Mar 28]. Available from: http://www.medifonews.com/news/download.html?no=142767&atno=36388
  2. Choi IH, Jung JY, Cho TJ, Yoo WJ, Park MS. Pediatric orthopaedics (4th ed.). Seoul: Koonja; 2014.
  3. Kim HY, Na KH, Ko JH, Kim KJ, Ahn JH, Choi WS. Overgrowth following tibial shaft fractures in children. J Korean Orthop Assoc. 2006;41(2):322-7. https://doi.org/10.4055/jkoa.2006.41.2.322
  4. Pieper B, Sieggreen M, Freeland B, Kulwicki P, Frattaroli M, Sidor D, et al. Discharge information needs of patients after surgery. J Wound Ostomy Continence Nurs. 2006;33(3):281-90. https://doi.org/10.1097/00152192-200605000-00009
  5. Santo NA, Purden NM, Tanguay NK. Developing an information booklet for parents and caregivers of children recovering from spinal fusion surgery. J. Orthop. Nurs. 2008;12(2):84-9. https://doi.org/10.1016/j.joon.2008.07.016
  6. Fagermoen MS, Hamilton G. Patient information at discharge -a study of a combined approach. Patient Educ Couns. 2006; 63(1-2):169-76. https://doi.org/10.1016/j.pec.2005.09.016
  7. Hwang JH, Kim HW. The pattern of occurrence of fractures in children and adolescents and its managements based on the database of the health insurance review and assessment service. J Korean Fracture Soc. 2014;27(4):308-14. https://doi.org/10.12671/jkfs.2014.27.4.308
  8. Lee JW, Lee Y, Park K-B. Surgical treatment of patellar instability in children and adolescents. J Korean Orthop Assoc. 2018;53(3):201-9. https://doi.org/10.4055/jkoa.2018.53.3.201
  9. Jung HJ, Jang WY, Cho IY, Lee S-H. Hip screening in infants presenting with asymmetricity of lower extremity. J Korean Orthop Assoc. 2017;52(3):205-11. https://doi.org/10.4055/jkoa.2017.52.3.205
  10. Korea Disease Control and Prevention Agency. National health information portal [Internet]. Cheongju (Korea): Korea Disease Control and Prevention Agency; 2016 [cited 2021 Mar 28]. Available from: https://health.kdca.go.kr/
  11. Mason SL, Chike-Harris KE, Gyr BM, Johnson E. Effect of facilitated discharge in pediatric orthopedic patients at an academic medical facility. J Pediatr Health Care. 2019;33(1):58-63. https://doi.org/10.1016/j.pedhc.2018.06.003
  12. Poonai N, Datoo N, Ali S, Cashin M, Drendel AL, Zhu R, et al. Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children: a randomized controlled trial. Can Med Assoc J. 2017;189(40):E1252-8. https://doi.org/10.1503/cmaj.170017
  13. Delasobera BE, Place R, Howell J, Davis JE. Serious infectious complications related to extremity cast/splint placement in children. J Emerg Med. 2011;41(1):47-50. https://doi.org/10.1016/j.jemermed.2010.05.031
  14. Hodgins MJ, Ouellet LL, Pond S, Knorr S, Geldart G. Effect of telephone follow-up on surgical orthopedic recovery. Appl Nurs Res. 2008;21(4):218-26. https://doi.org/10.1016/j.apnr.2007.01.008
  15. Thibaudeau S, Anari JB, Carducci N, Carrigan RB. 30-day readmission after pediatric upper extremity surgery: analysis of the NSQIP database. J Pediatr Surg. 2016;51(8):1370-74. https://doi.org/10.1016/j.jpedsurg.2016.04.012
  16. Roddy E, Diab M. Rates and risk factors associated with unplanned hospital readmission after fusion for pediatric spinal deformity. Spine J. 2017;17(3):369-79. https://doi.org/10.1016/j.spinee.2016.10.008
  17. Momaya A, Baker D, Gilbert S, Ponce B. Risk factors for complications and readmission after operative fixation of pediatric femur fractures. J Child Orthop. 2015;9(4):307-11. https://doi.org/10.1007/s11832-015-0672-x
  18. Weiss ME, Bobay KL, Bahr SJ, Costa L, Hughes RG, Holland DE. A model for hospital discharge preparation: from case management to care transition. J Nurs Adm. 2015;45(12):606-14. https://doi.org/10.1097/NNA.0000000000000273
  19. Yoo SH. The educational needs of family-caregivers of stroke patient in admission and discharge [master's thesis]. Seoul: Yonsei University; 2003.
  20. Kim SO, Park MH, Kim SM. The effect of a discharge education program for readmitted chemotherapy patients on compliance with sick role behavior and educational satisfaction. Asian Oncol Nurs. 2015;15(3):156-62. https://doi.org/10.5388/aon.2015.15.3.156
  21. Lee J-K, Lee M-S. Discharge nursing needs of patients having surgery with gastric cancer. Korean J Adult Nurs. 2003;15(1): 22-32.
  22. Lee JE. A study of discharge education about the liver transplantation patients: the learning need & patients's comprehension [master's thesis]. Seoul: Ewha Womans University; 2004.
  23. Choi MJ, Park JS. The effects of structured preoperative instruction on anxiety and self-care compliance in patients with cataract surgery. Korean J Adult Nurs. 2013;25(4):473-82. https://doi.org/10.7475/kjan.2013.25.4.473
  24. Yu MD. Educational needs and perceived understanding of treatment in patients with cancer [master's thesis]. Seoul: Yonsei University; 2003.
  25. Hwang OH. A study on education for lung cancer patient [master's thesis]. Seoul: Ewha Womans University; 2004.
  26. Lee J-Y, Han J-K, Lee M-S, Park G-H, Seo G-G. Nursing needs in perioperative period between patients and nurses in military hospital: focused on orthopedic leg surgery patients. Korean J Military Nurs Res. 2017;35(1):27-40. https://doi.org/10.31148/kjmnr.2017.35.1.27
  27. Sendir M, Buyukylmaz F, Musovi D. Patients' discharge information needs after total hip and knee arthroplasty: a quasi-qualitative pilot study. Rehabil Nurs. 2013;38(5):264-71. https://doi.org/10.1002/rnj.103
  28. Pieper B, Sieggreen M, Freeland B, Kulwicki P, Frattaroli M, Sidor D, et al. Discharge information needs of patients after surgery. J Wound Ostomy Continence Nurs. 2006;33(3):281-90. https://doi.org/10.1097/00152192-200605000-00009
  29. Bubela N, Galloway S, McCay E, McKibbon A, Nagle L, Pringle D, et al. The patient learning needs scale: reliability and validity. J Adv Nurs. 1990;15(10):1181-7. https://doi.org/10.1111/j.1365-2648.1990.tb01711.x
  30. Yang H-M. Education material development for older adults with hip fracture surgery and family caregivers [master's thesis]. Seoul: Yonsei University; 2013.
  31. Smith J. A literature review of the care of babies and young children in hip spicas. J. Orthop. Nurs. 2004;8(2):83-90. https://doi.org/10.1016/j.joon.2004.04.001
  32. Vincent C, Chiappetta M, Beach A, Kiolbasa C, Latta K, Maloney R, et al. Parents' management of children's pain at home after surgery. J Spec Pediatr Nurs. 2012;17(2):108-20. https://doi.org/10.1111/j.1744-6155.2012.00326.x
  33. Buckley E. Discharge education for pediatric post-operative pain after spinal surgery. 2020.
  34. Palonen M, Kaunonen M, Helminen M, Astedt-Kurki P. Discharge education for older people and family members in emergency department: a cross-sectional study. Int Emerg Nurs. 2015;23(4):306-11. https://doi.org/10.1016/j.ienj.2015.02.003
  35. Kim YM, Kim MY, Kwon WK, Kim HS, Park SH, Chun MS, et al. Effects of a discharge education program using computerized animation video for post-operative colon cancer patients. Korean J Rehabil Nurs. 2013;16(1):37-46. https://doi.org/10.7587/kjrehn.2013.37
  36. Schuh AM, Whitlock KB, Klein EJ. Management of toddler's fractures in the pediatric emergency department. Pediatr Emerg Care. 2016;32(7):452-4. https://doi.org/10.1097/PEC.0000000000000497