부산대학교 도서관

Byline: Sachiko Makabe, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. ; Yu Kume, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. ; Yuko Akagawa, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. ; Masahiko Wakasa, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. ; Kaina Ito, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. ; Hiroaki Kijima, Sachiko Makabe, PhD, RN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Yu Kume, PhD, OT, Department of Occupational Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Yuko Akagawa, RN, PHN, MSN, Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan. , Masahiko Wakasa, PhD, PT, Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan. , Kaina Ito, RN, PHN, Children's Mirai Center, Akita, Japan. , Hiroaki Kijima, MD, PhD, Department of Orthopedic, Akita University Hospital, Akita, Japan. Abstract This study examined discharge planning and challenges for patients following total hip arthroplasty in Japan. A cross-sectional national survey of 500 hospitals was conducted in May 2019. Discharge planning education tended to include content on dislocation prevention, including prevention while using a squat toilet and crouching down to sit on the floor or sleep on a futon on the floor-activities common in many Asian communities that require a maximum flexion of the hip joint. The challenges of discharge planning included diverse lifestyles, aging issues, lack of assistance at home, lack of consensus on dislocation prevention intervention, limitation of standardized care, interprofessional collaboration, and lack of time to educate family. Tailored discharge planning can be challenging, particularly for aged patients who practice 'floor culture', i.e., sleeping, sitting and eating on the floor. Discharge planning needs to be task shifted from the surgeon to the nurse to enhance nurses' empowerment in Japan.