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A Quasi-Experimental Study of Group Counselling Effectiveness for Patient Functional Ability and Quality of Counselling among Patients with Hip Arthroplasty.

Nursing open(2023)

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摘要
Aim: The aim of this study was to investigate effectiveness of group counselling for the patients with hip arthroplasty, self-assessed functional ability, and quality of counselling. Design: A quasi-experimental study. Method: The questionnaire included the Counselling Quality Instrument (CQI), Harris hip score and Oldwellactive self-rated wellness profile. A Mann-whitney U-and chi-squared and t-tests were used. A Wilcoxon singed rank test were used to evaluate changes in functional ability. No Patient or Public Contribution: Patients and the public were not involved in the design, recruitment and implementation of this study. Results: Fifty patients participated. Patients reported better results for limping (p = 0.000), walking distance (p = 0.000) and use of a walking aid ( p = 0.001) in the follow-up time point and they pain decreased. Patients were satisfied with interactions during counselling; gender (p = 0.000) and use of a walking aid (p = 0.044) were found to significantly affect. A lack of goal-oriented counselling was in depressive symptoms (p = 0.016), worries ( p = 0.010) and loneliness (p = 0.026).
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关键词
counselling,group counselling,hip arthroplasty,quality
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