陳曉梅Chen, Hsiao-Mei羅淑敏LO,SHU-MINLO護理學系長期照護碩士在職專班2026-10-282029-01-1320242024-01-04https://handle.ncl.edu.tw/11296/c8g4bbhttps://scholars.csmu.edu.tw/handle/123456789/34539背景：預估2030年全球對髖關節置換手術的需求將是2000年的4倍，臨床上針對髖關節置換術病患雖有執行臨床照護路徑，但未探討運用通訊軟體對病患之連續性照護成效，且COVID-19疫情下，提供遠距照護是必然之趨勢。目的：本研究探討以Line通訊軟體行動平台護理衛教措施介入對髖關節置換術病患之連續性照護、日常生活功能與生活品質之成效。方法：採類實驗性研究法，分為實驗組(n=34)及對照組(n=34)；實驗組介入措施為Line通訊軟體護理衛教措施及返家後電話關懷3次(出院當天、出院後第15天及手術後第1個月)，對照組給予護理師口頭衛教，兩組均進行常規照護。病患以人口學基本資料問卷、中文版本連續性照護量表、巴氏量表、工具性日常生活活動量表、臺灣簡明版世界衛生組織生活品質量表等為測量工具，兩組均於手術當天、手術後7天及1個月進行量表施測。資料分析以SPSS 23.0版進行統計分析，主要採重覆測量變異數(repeated measure ANOVA)及廣義估計方程式(generalized estimating equation gee, GEE)等統計方法，檢視兩組於介入措施後前、手術後7天及1個月後測之改變情形以及Line通訊軟體護理衛教介入措施之成效。結果：實驗組與對照組在連續性照護服務感受、BI量表及生活品質得分均有顯著改變，兩組僅IADL未達顯著改變；實驗組與對照組於介入措施後一個月之差異比較: PCCQ、「信息的傳遞」以及生活品質全範疇及四項次範疇，於Line通訊軟體護理照護措施對於髖關節置換術後病患介入一個月達正面的成效。結論/實務應用： Line通訊軟體護理照護對髖關節置換術後病患連續性照護、日常生活功能與生活品質有提升效益，未來可廣泛應用於髖關節置換術後病患照護臨床實務中，並拓展於急、慢性病患之臨床照護。BACKGROUND: The estimated global demand for hip joint replacement surgery is projected to be four times that of the year 2000 by 2030. While clinical care pathways have been implemented for patients undergoing hip joint replacement surgery, the effectiveness of utilizing communication software in providing continuous care for patients has not been explored. Additionally, with the ongoing COVID-19 pandemic, offering remote care has become an inevitable trend.OBJECTIVE: This study aims to investigate the effectiveness of nursing education interventions using the Line communication software on the continuity of care, daily life functionality, and quality of life for patients undergoing hip joint replacement surgery.METHODS: A quasi-experimental research design was employed, dividing participants into an experimental group (n=34) and a control group (n=34). The intervention for the experimental group included Line communication software nursing education interventions and three post-discharge phone follow-ups (on the day of discharge, 15 days post-discharge, and one month post-surgery). The control group received verbal education from nurses, and both groups underwent routine care. Patient data were collected using demographic questionnaires, the Chinese version of the Continuity of Care Scale, Barthel Index, Instrumental Activities of Daily Living Scale, and the Taiwan version of the World Health Organization Quality of Life Scale. Measurements were conducted on the day of surgery, 7 days post-surgery, and 1 month post-surgery. Statistical analyses were performed using SPSS version 23.0, employing repeated measures ANOVA and generalized estimating equation (GEE) to examine changes in both groups before and after the intervention, and the effectiveness of the Line communication software nursing education interventions.RESULTS: Both the experimental and control groups showed significant improvements in the perceived continuity of care, Barthel Index scores, and quality of life, with no significant changes in IADL. Comparing the differences between the two groups one month after the intervention, the experimental group demonstrated positive effects in PCCQ, "Information Transmission," and the overall and subdomains of quality of life. The Line communication software nursing education intervention showed positive effects on patients undergoing hip joint replacement surgery one month post-intervention.CONCLUSION: Line communication software nursing education improves the continuity of care, daily life functionality, and quality of life for patients after hip joint replacement surgery. This intervention can be widely applied in clinical practices for post-hip joint replacement patient care and expanded to the clinical care of both acute and chronic patients.Line通訊軟體髖關節置換術後護理連續性照護日常生活 功能生活品質Line communication softwarepost-hip joint replacement nursing carecontinuity of caredaily life functionalityquality of lifethesis