微信视频指导膝关节置换术后患者出院后功能锻炼的效果观察
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摘要
目的探讨微信视频指导膝关节置换术后患者出院后功能锻炼的效果。方法选择2017年1月至2017年12月在西安2所三级甲等医院膝关节置换手术的218例患者,根据住院号后两位数字,采用随机数字表分为观察组(n=102)与对照组(n=116)。观察组护士要求膝关节置换患者按要求进行功能锻炼并上传锻炼视频。对照组采用常规出院健康教育和电话回访患者的方法。分别于出院时、出院1月、3个月、6个月测量两组患者MBI (改良Barthel指数)及HSS(Hospital of Special Surgery,特殊外科医院膝关节评价标准)评分。结果两组患者出院后6个月的MBI、HSS评分比较,差异有统计学意义(P<0.01),观察组高于对照组。结论利用微信社交平台视频打卡方式进行功能锻炼,可以改善膝关节置换术患者的关节功能、提高患者自理能力。
Objective To explore the effects of attendance check on WeChat on postoperative rehabilitation of patients with knee arthroplasty. Methods Patients undergoing knee arthroplasty were randomly divided into two groups, 102 cases in the observation group and 116 cases in the control group. The nurses in the observation group communicated with the patients and their families by WeChat, and the patients did exercises by WeChat video. In the control group, the patients received the routine health education only by way of phone call for follow-ups. The MBI(improved Barthel index) and HSS(Hospital of Special Surgery, HSS) scores of the patients in the two groups were measured from hospital in 1 months and 6 months after the surgery respectively. Result There was significant difference between the two groups in terms of MBI and HSS scores at different time points(P <0.01). Conclusion The attendance check on WeChat can improve rehabilitation and self-care ability of patients with knee arthroplasty after the surgery.
Objective To explore the effects of attendance check on WeChat on postoperative rehabilitation of patients with knee arthroplasty. Methods Patients undergoing knee arthroplasty were randomly divided into two groups, 102 cases in the observation group and 116 cases in the control group. The nurses in the observation group communicated with the patients and their families by WeChat, and the patients did exercises by WeChat video. In the control group, the patients received the routine health education only by way of phone call for follow-ups. The MBI(improved Barthel index) and HSS(Hospital of Special Surgery, HSS) scores of the patients in the two groups were measured from hospital in 1 months and 6 months after the surgery respectively. Result There was significant difference between the two groups in terms of MBI and HSS scores at different time points(P <0.01). Conclusion The attendance check on WeChat can improve rehabilitation and self-care ability of patients with knee arthroplasty after the surgery.
引文
[1] JOHANSSON STARK A,CHARALAMBOUS A,ISTOMINA,et al. The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement-a European study[J]. J Clin Nurs.2016,25(17-18):2489-2501.
[2]李伦兰,甘玉云,张丽娜,等.基于Orem自理理论构建人工髋关节置换术病人延续护理模式[J].护理研究,2016,30(14):1735-1737.
[3] WYLDE V, HOWELLS N,BERTRAM W,et al.Development of a complex intervention for people with chronic pain after knee replacement:the STAR care pathway[J].Trials,2018,19(1):61.
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[6] MCDONALL J,DE STEIGER R,REYNOLDS J,et al.Patient participation in postoperative care activities in patients undergoing total knee replacement surgery:multimedia intervention for managing patient experience(MIME). Study protocol for a cluster randomised crossover trial[J]. BMC Musculoskelet Disord, 2016,(17):294.
[7]张林.快速康复外科理念在髋膝关节置换术中的应用研究进展[J].护士进修杂志,2015, 30(4):303-306.
[8] TURHAN DAMAR H,BILIK O,KARAYURT,et al. Fac-tors related to older patients'fear of falling during the first mobilization after total knee replacement and total hip replacement[J].Geriatr Nurs,2018,39(4):382-387.
[9] STRICKLAND LH,KELLY L,HAMILTON TW,et al.Early recovery following lower limb arthroplasty:qualitative interviews with patients undergoing elective hip and knee replacement surgery. Initial phase in the development of a patient-reported outcome measure[J].J Clin Nurs.2017,(27):2598-2608.
[10]张莉,陶贵彦,章江琳,等.中文发表的全膝关节置换术护理随机对照试验摘要报告质量评价[J].现代临床护理,2018,17(7):1-6.
[11] BALDWIN AL, VITALE A, BROWNELL E, et al.Effects of reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement:a pilot study[J].Holist Nurs Pract,2017,31(2):80-89.
[12]刘学哲.引导式教育在老年髋部骨折患者术后康复护理中的应用[J].中国实用医药,2018,13(3):188-189.
[13]林妙君.专科康复护理对全膝关节置换术患者康复效果的影响[J].天津护理,2018,26(1):73-74.
[14] SCARDINO M,D'AMATO T,MARTORELLI F,et al.Sublingual sufentanil tablet system Zalviso? for postoperative analgesia after knee replacement in fast track surgery:a pilot observational study[J].J Exp Orthop,2018,5(1):8.
[15]黄秋雨,任欣云,王幸运.基于高校“APP打卡”式课外锻炼现状的教育性分析[J].科技经济导刊,2018,26(25):171.
[16]刁燕颜,钟耐容,陈丽英,等.微信打卡督导对肺结核患者服药依从性的影响[J].现代医院,2018,18(7):993-995.
[17]孙艳丽,孙黎惠.视频健康教育对膝关节置换术患者功能锻炼依从性和满意度的影响[J].泰山医学院学报,2015,36(1):64-65.
[18]曹琼雅.基于微信提高全膝关节置换术患者居家功能锻炼依从性的干预效果研究[D].北京:北京协和医学院,2017.
[2]李伦兰,甘玉云,张丽娜,等.基于Orem自理理论构建人工髋关节置换术病人延续护理模式[J].护理研究,2016,30(14):1735-1737.
[3] WYLDE V, HOWELLS N,BERTRAM W,et al.Development of a complex intervention for people with chronic pain after knee replacement:the STAR care pathway[J].Trials,2018,19(1):61.
[4] CARY MP JR,GOODE V,CREGO N,et al. Hospital readmission in total hip replacement patients in 2009 and 2014.[J]. Arch Phys Med Rehabil,2018,99(6):1213-1216.
[5]何国平,蒋冬梅.临床护理评价量表及应用[M].长沙:湖南科学技术出版社,2011:64-136.
[6] MCDONALL J,DE STEIGER R,REYNOLDS J,et al.Patient participation in postoperative care activities in patients undergoing total knee replacement surgery:multimedia intervention for managing patient experience(MIME). Study protocol for a cluster randomised crossover trial[J]. BMC Musculoskelet Disord, 2016,(17):294.
[7]张林.快速康复外科理念在髋膝关节置换术中的应用研究进展[J].护士进修杂志,2015, 30(4):303-306.
[8] TURHAN DAMAR H,BILIK O,KARAYURT,et al. Fac-tors related to older patients'fear of falling during the first mobilization after total knee replacement and total hip replacement[J].Geriatr Nurs,2018,39(4):382-387.
[9] STRICKLAND LH,KELLY L,HAMILTON TW,et al.Early recovery following lower limb arthroplasty:qualitative interviews with patients undergoing elective hip and knee replacement surgery. Initial phase in the development of a patient-reported outcome measure[J].J Clin Nurs.2017,(27):2598-2608.
[10]张莉,陶贵彦,章江琳,等.中文发表的全膝关节置换术护理随机对照试验摘要报告质量评价[J].现代临床护理,2018,17(7):1-6.
[11] BALDWIN AL, VITALE A, BROWNELL E, et al.Effects of reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement:a pilot study[J].Holist Nurs Pract,2017,31(2):80-89.
[12]刘学哲.引导式教育在老年髋部骨折患者术后康复护理中的应用[J].中国实用医药,2018,13(3):188-189.
[13]林妙君.专科康复护理对全膝关节置换术患者康复效果的影响[J].天津护理,2018,26(1):73-74.
[14] SCARDINO M,D'AMATO T,MARTORELLI F,et al.Sublingual sufentanil tablet system Zalviso? for postoperative analgesia after knee replacement in fast track surgery:a pilot observational study[J].J Exp Orthop,2018,5(1):8.
[15]黄秋雨,任欣云,王幸运.基于高校“APP打卡”式课外锻炼现状的教育性分析[J].科技经济导刊,2018,26(25):171.
[16]刁燕颜,钟耐容,陈丽英,等.微信打卡督导对肺结核患者服药依从性的影响[J].现代医院,2018,18(7):993-995.
[17]孙艳丽,孙黎惠.视频健康教育对膝关节置换术患者功能锻炼依从性和满意度的影响[J].泰山医学院学报,2015,36(1):64-65.
[18]曹琼雅.基于微信提高全膝关节置换术患者居家功能锻炼依从性的干预效果研究[D].北京:北京协和医学院,2017.