录像回馈配合电话随访对人工全髋关节置换术后患者院外康复的影响

The effect of the combination of video feedback and telephone intervention on postdischarge rehabilitation in patients receiving artificial total hip replacement

目的 探讨录像回馈配合电话随访的护理干预方式对人工全髋关节置换术后患者院外康复效果的影响.方法 60例人工全髋关节置换术后患者按随机数字表法分为干预组和对照组,每组30例.干预组给予录像回馈配合电话随访干预,患者或者家属出院后根据要求拍摄患者家中康复锻炼视频并回馈录像,研究者通过回馈的录像评估患者关节与肌肉功能恢复情况,采用电话的形式对其进行个体化的健康教育与指导.对照组实施常规出院指导和定期电话随访.在出院时和出院后1、3、6个月对患者采用Harris髋关节功能评分量表及功能独立性测量量表（FIM）进行调查.结果 出院时2组患者Harris髋关节功能评分与FIM评分比较差异无统计学意义,P＞0.05.出院后1、3、6个月时干预组Harris髋关节功能评分分别为（72.70±11.65）、（83.11±5.12）、（94.83±3.08）分,高于对照组的（63.20±14.96）、（77.00±11.62）、（87.50±7.94）分,差异有统计学意义,P＜0.05或＜0.01.出院后1、3、6个月时干预组FIM评分分别为（96.30±4.63）、（108.76±3.28）、（125.79±1.19）分,高于对照组的（78.23±5.09）、（86.43±6.30）、（96.54±5.35）分,差异有统计学意义,P＜0.01.结论 录像回馈配合电话随访的护理干预方式有助于人工全髋关节置换术后患者院外髋关节功能康复.

Objective To explore the effect of the combination of video feedback and telephone intervention on postdischarge rehabilitation in patients receiving artificial total hip replacement.Methods A total of 60 patients receiving artificial total hip replacement were divided into intervention group and control group with 30 cases each by random digits table method.The combination of video feedback and telephone intervention was conducted in intervention group,and conventional discharge guidance and telephone follow-up on a regular basis in control group.In intervention group,the patients or their family member were asked to record the video of the exercises and daily living when patients were at home according instructions and researchers assessed the condition of patient＇s joint and muscle function and provided individual education and instructions to the patients on the basis of the feedback video through telephone.Harris hip function rating scale and Functional Independence Measure （FIM） were investigated at discharge and 1,3,6 months after discharge.Results There were no significant differences in Harris hip function rating scale and FIM score at discharge between 2 groups,P〉0.05.Harris hip function rating scale score were （72.70± 11.65）,（83.11±5.12）,（94.83±3.08） scores at 1,3,6 months after discharge in intervention group,and （63.20±14.96）,（77.00±11.62）,（87.50±7.94） scores in control group,there were significant differences,P〈0.05 or 〈0.01.FIM score were （96.30±4.63）,（108.76±3.28）,（125.79±1.19） scores at 1,3,6 months after discharge in intervention group,and （78.23±5.09）,（86.43±6.30）,（96.54±5.35） scores in control group,there were significant differences,P〈0.01.Conclusion The combination of video feedback and telephone intervention could help to promote the postdischarge hip function for patients receiving artificial total hip replacement.