手机APP在老年患者髋关节置换康复护理中的应用效果

Application effect of mobile APP in rehabilitation nursing of elderly patients with hip arthroplasty

目的探讨手机APP在老年患者髋关节置换康复护理中的应用效果。方法选取2020年6月至2021年6月遵义医科大学第五附属(珠海)医院骨关节外科收治的60例进行髋关节置换的老年患者作为研究对象,采用随机数字表法将患者分为干预组(n=30)和对照组(n=30)。对照组在微创全髋关节置换术围手术期护理时给予常规护理,干预组除接受髋关节置换术围术期常规护理外,通过手机APP及时了解患者的康复情况并针对患者自身情况进行康复锻炼指导,增强患者的康复信心。比较两组患者的髋关节功能恢复情况、活动能力恢复情况、生活质量、并发症以及康复锻炼依从性。结果两组患者干预前的Harris评分、Barthel指数、生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组患者的Harris评分、Barthel指数评分和生活质量评分均高于干预前,差异有统计学意义(P<0.05),干预组患者干预后的Harris评分、Barthel指数、生活质量评分高于对照组,差异有统计学意义(P<0.05);干预组的并发症总发生率低于对照组,差异有统计学意义(P<0.05);干预组的康复锻炼总依从率高于对照组,差异有统计学意义(P<0.05)。结论手机APP干预对老年髋关节置换患者的术后护理效果良好,能够促进患者髋关节功能的恢复,值得推广。

Objective To explore the application effect of mobile APP in the rehabilitation nursing of elderly patients with hip arthroplasty.Methods From June 2020 to June 2021,60 elderly patients who underwent hip arthroplasty in the Department of Orthopaedic Surgery of the Fifth Affiliated Hospital(Zhuhai)of Zunyi Medical University were selected as the research objects.The patients were divided into the intervention group(n=30)and the control group(n=30)according to random number table method.The control group was given routine nursing during the perioperative nursing of minimally invasive total hip arthroplasty.In addition to receiving perioperative routine nursing of hip replacement,the intervention group learned about the patients′rehabilitation through mobile APP and provided rehabilitation exercise guidance according to the patients′own conditions,so as to enhance the patients′confidence in rehabilitation.The hip function recovery,activity recovery,quality of life,complications and compliance with rehabilitation exercise were compared between the two groups.Results There were no significant differences in the Harris score,Barthel index and quality of life score between the two groups before intervention(P>0.05).After treatment,the Harris scores,Barthel index scores and quality of life scores of the two groups were higher than those before treatment,the differences were statistically significant(P<0.05).The Harris score,Barthel index and quality of life score of the observation group after treatment were higher than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Mobile APP intervention has a good postoperative nursing effect on elderly patients with hip arthroplasty,it can promote the recovery of patients′hip function,which is worth promoting.