居家护理平台对髋膝关节置换术后康复锻炼依从性及生活质量的影响
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摘要
目的探讨移动居家护理平台对髋膝关节置换术后患者康复锻炼依从性与生活质量的影响。方法将髋膝置换术后的患者随机分为观察组和对照组,每组70例,对照组给予术后康复指导,观察组给予移动居家护理平台预追踪管理患者,比较两组患者干预后1个月、3个月及6个月的锻炼依从性、功能独立状况及生活质量的变化。结果干预后两组患者的锻炼依从性、功能独立状况及生活质量较干预前均有改善,且观察组优于对照组(P<0.05)。结论移动居家护理平台为髋膝关节置换患者提供个体化延续护理健康教育指导,能提高髋膝关节置换术后患者康复锻炼的依从性和生活质量,有效提高患者功能独立状况,值得在临床实施。
Objective To explore the effect of mobile home care platform on rehabilitation exercise compliance and quality of life in patients with total hip or knee arthroplasty.Methods Totally 140 patients after hip or knee replacement surgery were randomly divided into the intervention group and the control group, 70 cases in each group. Patients in the control group was treated with routine rehabilitation education method, while patients in intervention group was treated with mobile home care platform intervention tracking and managing patients. Rehabilitation exercise compliance, functional independence and quality of life were compared between the two groups after 1, 3, 6 months of intervention.Results After treatment, exercise compliance, functional independence and quality of life were improved in both groups, and the intervention group was superior to the control group(P<0.05).Conclusion Mobile home care platform intervention can provide individualized continuous rehabilitation guidance for patients after total hip or knee arthroplasty. it can improve the compliance and quality of life in patients after total hip or knee arthroplasty, thus can effectively improve the patient's functional independence. So it is worthy of clinical practice.
Objective To explore the effect of mobile home care platform on rehabilitation exercise compliance and quality of life in patients with total hip or knee arthroplasty.Methods Totally 140 patients after hip or knee replacement surgery were randomly divided into the intervention group and the control group, 70 cases in each group. Patients in the control group was treated with routine rehabilitation education method, while patients in intervention group was treated with mobile home care platform intervention tracking and managing patients. Rehabilitation exercise compliance, functional independence and quality of life were compared between the two groups after 1, 3, 6 months of intervention.Results After treatment, exercise compliance, functional independence and quality of life were improved in both groups, and the intervention group was superior to the control group(P<0.05).Conclusion Mobile home care platform intervention can provide individualized continuous rehabilitation guidance for patients after total hip or knee arthroplasty. it can improve the compliance and quality of life in patients after total hip or knee arthroplasty, thus can effectively improve the patient's functional independence. So it is worthy of clinical practice.
引文
[1] 戴尅戎,李慧武,严孟宁.我国人工关节加速发展的二十年[J].中华关节外科杂志(电子版),2015,9(6):691-694.
[2] 方汉萍,张严丽,余洪兴,等.功能锻炼决策辅助在髋膝关节置换术患者加速康复中的应用[J].护理学杂志,2018,33(4):11-13.
[3] ROOKS DS, HUANG J, BIERBAUM BE, et al. Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty[J]. Arthritis Rheum, 2006, 55(5):700-708.
[4] DESMEULES F, TOLIOPOULOS P, ROY J, et al. Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic[J]. Bmc Musculoskeletal Disorders, 2013,14(1):162-171.
[5] BRYSON D, AUJLA R, MAHADEVAN D, et al. Specialist Orthopaedic Nurses: Frontline for Fracture Clinic Referrals[J]. Bulletin of the Royal College of Surgeons of England, 2013,95(9):1-4.
[6] BATES BE, STINEMAN MG. Outcome indicators for stroke: Application of an algorithm treatment across the continuum of postacute rehabilitation services[J]. Archives of Physical Medicine and Rehabilitation,2000,81(11):1468-1478.
[7] 吴毅,ESSELMAN P. 功能独立性评价量表作为康复治疗前后和随访的功能评价指标[J].中华物理医学与康复杂志,2001,23(6):10-12.
[8] 邱纪方,张天友,李建华,等.功能独立性测量的信度与效度研究[J].中国康复医学杂志,1998,13(2):7-10.
[9] 张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005.
[10] 陈晓君,吴美芳,李倩云.认知与情感智能干预在脑卒中后肩手综合征病人功能康复中的应用效果[J].全科护理,2013,11(20):1828-1830.
[11] 刘琼,褚静茹,杨滢,等.协同护理模式在肝移植患者围术期健康教育中的应用[J].中华现代护理杂志,2015,21(2):194-196.
[12] AN CM, WON JI. Effects of ankle joint mobilization with movement and weight-bearing exercise on knee strength, ankle range of motion, and gait velocity in patients with stroke: a pilot study[J]. Journal of Physical Therapy Science, 2016,28(2):689-694.
[13] ROBBINS CE, BONO JV, WARD DM, et al. Effect of preoperative exercise on postoperative mobility in obese total joint replacement patients[J]. Orthopedics,2010,33(9):666.
[14] 张海玲,陈琼芳,朱小珠.电话式随访对髋关节置换术后出院患者关节功能恢复的影响[J].现代临床护理,2015,14(3):49-52.
[15] 王洁,霍孝蓉,蒋莹卿,等.居家骨科护理平台的设计及在江苏省的应用[J].中华护理杂志,2017,52(7):826-829.
[16] 季艳萍,杨威,刘继兰,等.人工全膝关节置换术后患者生活质量及其影响因素[J].解放军护理杂志,2014,31(3):1-4.
[17] 赵媛,王燕,廉军孝,等.信息-动机-行为技巧模型在老年全髋关节置换术患者早期康复护理中的应用研究[J].中华护理杂志,2014,49(8):952-956.
[2] 方汉萍,张严丽,余洪兴,等.功能锻炼决策辅助在髋膝关节置换术患者加速康复中的应用[J].护理学杂志,2018,33(4):11-13.
[3] ROOKS DS, HUANG J, BIERBAUM BE, et al. Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty[J]. Arthritis Rheum, 2006, 55(5):700-708.
[4] DESMEULES F, TOLIOPOULOS P, ROY J, et al. Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic[J]. Bmc Musculoskeletal Disorders, 2013,14(1):162-171.
[5] BRYSON D, AUJLA R, MAHADEVAN D, et al. Specialist Orthopaedic Nurses: Frontline for Fracture Clinic Referrals[J]. Bulletin of the Royal College of Surgeons of England, 2013,95(9):1-4.
[6] BATES BE, STINEMAN MG. Outcome indicators for stroke: Application of an algorithm treatment across the continuum of postacute rehabilitation services[J]. Archives of Physical Medicine and Rehabilitation,2000,81(11):1468-1478.
[7] 吴毅,ESSELMAN P. 功能独立性评价量表作为康复治疗前后和随访的功能评价指标[J].中华物理医学与康复杂志,2001,23(6):10-12.
[8] 邱纪方,张天友,李建华,等.功能独立性测量的信度与效度研究[J].中国康复医学杂志,1998,13(2):7-10.
[9] 张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005.
[10] 陈晓君,吴美芳,李倩云.认知与情感智能干预在脑卒中后肩手综合征病人功能康复中的应用效果[J].全科护理,2013,11(20):1828-1830.
[11] 刘琼,褚静茹,杨滢,等.协同护理模式在肝移植患者围术期健康教育中的应用[J].中华现代护理杂志,2015,21(2):194-196.
[12] AN CM, WON JI. Effects of ankle joint mobilization with movement and weight-bearing exercise on knee strength, ankle range of motion, and gait velocity in patients with stroke: a pilot study[J]. Journal of Physical Therapy Science, 2016,28(2):689-694.
[13] ROBBINS CE, BONO JV, WARD DM, et al. Effect of preoperative exercise on postoperative mobility in obese total joint replacement patients[J]. Orthopedics,2010,33(9):666.
[14] 张海玲,陈琼芳,朱小珠.电话式随访对髋关节置换术后出院患者关节功能恢复的影响[J].现代临床护理,2015,14(3):49-52.
[15] 王洁,霍孝蓉,蒋莹卿,等.居家骨科护理平台的设计及在江苏省的应用[J].中华护理杂志,2017,52(7):826-829.
[16] 季艳萍,杨威,刘继兰,等.人工全膝关节置换术后患者生活质量及其影响因素[J].解放军护理杂志,2014,31(3):1-4.
[17] 赵媛,王燕,廉军孝,等.信息-动机-行为技巧模型在老年全髋关节置换术患者早期康复护理中的应用研究[J].中华护理杂志,2014,49(8):952-956.