微信健康教育对人工全膝关节置换术后患者康复效果的影响

Effect of Wechat Health Education on the Recovery Effect of Postoperative Patients of Total Knee Arthroplasty

目的探讨微信健康教育对人工全膝关节置换术患者康复效果的影响。方法 2015年5-11月,便利抽样法选取在第二军医大学长征医院关节外科行人工全膝关节置换术患者120例为研究对象。按随机数字表法将其分为观察组和对照组,每组60例。观察组患者出院时给予常规教育及离院后的微信教育;对照组在出院时给予常规教育。采用美国膝关节外科学会评分系统(hospital specialsurgery knee score,HSS)对人工全膝关节置换术患者的术后2周、6周、3个月时的康复情况进行测评,统计随访情况。结果两组患者在术前HSS的评分差异无统计学意义(P>0.05)。术后2周、6周和3个月时,观察组患者的HSS评分高于对照组,差异均有统计学意义(均P<0.05)。术后2周,两组患者门诊随访的依从性差异无统计学意义(P>0.05);术后6周和术后3个月,观察组患者门诊随访的依从性优于对照组,差异均有统计学意义(均P<0.05)。结论微信教育可改善膝关节置换术患者功能康复的效果,提高了患者门诊随访依从性。

Objective To study the effect of health education on the recovery effect of patients after total knee arthroplasty.Methods By convenience sampling,120 cases were selected and randomly divided into obser-vation group and control group.The hospital special surgery knee score （HSS）were respectively used to evaluate the recovery status after 2 weeks,6 weeks and 3 months of surgery,and the results before and after education of two groups were compared.Results The preoperative HSS scores of two groups had no significant difference （P〉0.05）.The HSS scores in observation group of 2 weeks,6 weeks and 3 months after surgery were signifi-cantly higher than control group （all P〈0.05）.There was no statistical significance of compliance found in outpa-tient follow-up two weeks after surgery （all P〉0.05）.Six weeks and three months after surgery,the outpatient follow-up compliance in observation group was significantly better than control group （all P〈0.05）.Conclu‐sions The Wechat education can significantly improve the effect of rehabilitation for patients after total knee arthroplasty,and improve the outpatient follow-up compliance.