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

Effect of WeChat-based videos on postoperative rehabilitation for knee arthroplasty

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.