基于互联网平台的髋关节置换患者健康教育行为依从性研究

On behavior compliance of health education on hip arthroplasty patients on the internet platform

目的：基于互联网平台将多媒体素材引入髋关节置换患者健康教育，使髋关节置换患者能接受更规范、全面、系统的健康教育服务，探讨其应用效果。方法整群抽取中南大学湘雅医院骨科2013年3—8月的髋关节置换患者进行前瞻性临床对照试验，按时间段分为对照组和试验组。对照组应用传统健康教育模式，试验组建立健康教育信息平台，将健康教育内容云端化，开展口头、书面及多媒体素材视频教育。调查并比较两组患者行为依从性和满意度，评价干预效果。结果试验组患者对健康教育内容的行为依从性和满意度得分高于对照组，差异均有统计学意义（P ＜0．05）；患者行为依从性提升幅度更大的条目为专科相关内容和功能锻炼内容。结论基于互联网平台的健康教育新模式能有效提高髋关节置换患者行为依从性，对专科相关内容和功能锻炼内容具有更强的指导意义，有效提升患者满意度，值得临床推广。

Objective Multimedia materials were introduced,basing on internet platform,in health education of hip arthroplasty patients,so as to create more standards,comprehensive and systematic health education service for them.The application effects would be explored.Methods From March to August 201 3, patients with hip arthroplasty in Department of Orthopedics,Xiangya Hospital Central South University,were selected by cluster sampling.The participants in this prospective cohort study were divided into control group and experimental group according to the time of surgeries.The patients of control group took traditional health education,while in the experimental group,information platform about health education was established and made to the cloud,so that oral,written and multi-media video education could be carried out.Then,behavior compliance and satisfaction degree of patients in the two groups were investigated and compared, and intervention effects were evaluated.Results Behavior compliance and satisfaction degree of health education of patients in the experiment group were higher than that in the control group （P ＆lt;0.05）.Specialized subject and functional exercise showed more improvement in behavior compliance.Conclusions The new mode of health education basing on the internet platform is effective to improve the behavior compliance and satisfaction in total hip arthroplasty patients,which has an obvious guidance for specialized subject and functional exercises,so it is worthy of clinical promotion.