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微信随访在髋关节置换术患者出院后康复指导中的效果观察

Observation on the effect of Wechat follow-up in rehabilitation guidance of discharged patients after hip replacement
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摘要 目的探究微信随访在髋关节置换术患者出院后康复指导中的效果。方法46例行髋关节置换术出院患者作为研究对象,随机分为对照组和观察组,各23例。对照组患者实施常规出院指导,观察组患者在常规出院指导基础上实施微信随访。比较两组患者康复训练任务完成优良情况及出院1、3、6个月髋关节功能情况。结果观察组患者康复训练任务完成优良率为91.3%,明显高于对照组的65.2%,差异具有统计学意义(P<0.05)。观察组患者出院1、3、6个月髋关节功能评分分别为(54.8±3.4)、(86.7±7.2)、(93.5±3.8)分;对照组患者出院1、3、6个月髋关节功能评分分别为(54.6±3.7)、(75.1±3.5)、(86.4±2.4)分。两组患者出院1个月髋关节功能评分比较,差异无统计学意义(P>0.05);观察组患者出院3、6个月髋关节功能评分明显高于对照组,差异有统计学意义(P<0.05)。结论相比常规出院康复指导,微信随访在髋关节置换术患者出院后的康复指导中的效果更优,明显提高患者术后的康复质量,值得临床推广应用。 Objective To investigate the effect of Wechat follow-up in rehabilitation guidance of patients discharged from hospital after hip replacement. Methods A total of 46 discharged patients after hip replacement as study subjects were randomly divided into control group and observation group, with 23 cases in each group. The control group received routine discharge guidance, and the observation group received Wechat follow-up on the basis of routine discharge guidance. Comparison were made on excellent performance of rehabilitation training task and hip joint function at 1, 3 and 6 months of discharge between the two groups. Results The observation group had obviously higher excellent rate of rehabilitation training completion as 91.3% than 65.2% in the control group, and the difference was statistically significant(P<0.05). The observation group had hip joint function at 1, 3 and 6 months of discharge respectively as(54.8±3.4),(86.7±7.2) and(93.5±3.8) points, and the control group had hip joint function at 1, 3 and 6 months of discharge respectively as(54.6±3.7),(75.1±3.5) and(86.4± 2.4) points. There was no statistically significant difference in hip joint function at 1 month of discharge(P>0.05). The observation group had obviously higher hip joint function at 3 and 6 months of discharge than the control group, and the difference was statistically significant(P<0.05). Conclusion Compared with routine discharging rehabilitation guidance, Wechat follow-up has better effect in the rehabilitation guidance of discharged patients after hip replacement, and it can significantly improve the quality of rehabilitation of patients after operation. It is worthy of clinical popularization and application.
作者 刘艳 LIU Yan(Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,China)
机构地区 徐州市中医院
出处 《中国现代药物应用》 2019年第14期168-170,共3页 Chinese Journal of Modern Drug Application
关键词 微信随访 髋关节置换术 康复指导 效果 Wechat follow-up Hip replacement Rehabilitation guidance Effect
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