手机应用软件在全髋关节置换术后功能康复中的应用

Application of mobile software in functional rehabilitation after total hip arthroplasty

目的分析手机应用软件(微信视频)在全髋关节置换术后功能康复中的应用效果,为建立全髋关节置换术后延续性护理模式提供参考数据。方法选取2017年1月~2018年1月在我院接受全髋关节置换术治疗的64例患者作为观察对象,按随机数字表法分为两组,每组32例。对照组术后给予常规出院指导及电话随访,观察组术后给予出院指导和手机应用软件(微信视频)随访(利用手机应用软件对患者进行康复指导,并于出院后第7、14、30、60、90及180天时实施手机应用软件随访干预),评价两组患者出院时、出院后180天的遵医行为(遵医行为量表评价)、焦虑情绪(SAS焦虑自评量表评价)、生活质量(SF-36量表评价)、骸关节功能(Harris评分量表评价)情况。结果 (1)出院时,两组患者的遵医行为比较,差异无统计学意义(P>0. 05);出院后180天比较,观察组的遵医行为优于对照组,差异有统计学意义(P<0. 05)。(2)出院时,两组患者的SAS评分比较,差异无统计学意义(P>0. 05);出院后180天比较,观察组的SAS评分低于对照组,差异有统计学意义(P<0. 05)。(3)出院时,两组患者的Harris评分比较,差异无统计学意义(P>0. 05);出院后180天比较,观察组的Harris评分高于对照组,差异有统计学意义(P<0. 05)。(4)出院时,两组患者的SF-36评分比较,差异无统计学意义(P>0. 05);出院后180天比较,观察组的SF-36评分高于对照组,差异有统计学意义(P<0. 05)。结论手机应用软件在全髋关节置换术后功能康复中的应用效果显著,具有便捷、有效的优点,可提高全髋关节置换术后功能康复效果,为建立全髋关节置换术后延续性护理模式提供重要支持。

Objective To analyze the application effect of mobile phone software(WeChat video) in functional rehabilitation after total hip replacement,and to provide reference data for establishing continuous nursing mode after total hip replacement. Methods 64 patients who received total hip arthroplasty in our hospital from January 2017 to January 2018 were selected as the observation objects.They were divided into two groups according to the random number table method,the control group included 32 patients and the observation group included 32 patients.The control group was given routine discharge guidance and telephone follow-up after surgery.The observation group was given postoperative discharge guidance and follow-up with mobile application software(WeChat video).Follow-up intervention with mobile application software was conducted at 7,14,30,60,90 and 180 days after discharge to evaluate compliance behavior,anxiety,quality of life,and skeletal joint function(Harris score) of patients in the two groups at discharge and 180 days after discharge. Results(1)There was no statistically significant difference between the two groups in compliance behavior at discharge(P>0.05).180 days after discharge,the observation group showed better compliance behavior than the control group(P<0.05).(2)There was no significant difference in SAS scores between the two groups at discharge(P>0.05).180 days after discharge,the SAS score of the observation group was lower than that of the control group(P<0.05).(3)There was no significant difference in Harris score between the two groups at discharge(P>0.05).The Harris score of the observation group was higher than that of the control group 180 days after discharge(P<0.05).(4)There was no significant difference in SF36 score between the two groups at discharge(P>0.05).The SF36 score of the observation group was higher than that of the control group 180 days after discharge(P<0.05). Conclusion The application of mobile phone application software in the functional rehabilitation after total hip replacement has a significant effect,with convenient and effective advantages,which can improve the functional rehabilitation effect after total hip replacement,and provide important support for the establishment of continuous nursing mode after total hip replacement.