按需康复计划微信公众号在关节镜术后患者居家训练中的应用

Application of an on-demand rehabilitation program WeChat official accounts in home-based training of post-arthroscopy patients

目的探讨按需康复计划微信公众号对关节镜术后居家患者康复训练的效果。方法选取2023年1-3月关节镜手术患者63例作为对照组,2023年4-6月65例患者作为观察组。对照组常规随访,观察组采用按需制定的康复计划微信公众号行居家康复随访,该软件包括信息档案、干预指导、互动咨询、激励4个应用模块,依据管理层级设置不同权限行关节镜术后患者延续康复护理干预。结果两组各60例患者完成研究。术后1、3个月观察组居家功能锻炼依从性及患者积极度评分显著优于对照组(均P<0.05),术后3个月观察组上肢及下肢功能评分显著优于对照组(均P<0.05);观察组患者对该系统可用性评价总分4.30±0.57,可用性较好。结论按需康复计划微信公众号的应用能为关节镜术后患者提供持续、全程、实时的健康服务,提高患者家庭康复锻炼依从性,促进肢体功能恢复。

Objective To explore the effect of an on-demand rehabilitation program WeChat official accounts in home-based training of post-arthroscopy patients.Methods A total of 63 arthroscopy surgery patients from January to March 2023 were selected as a control group,and the other 65 arthroscopy surgery patients from April to June 2023 were selected as an intervention group.The control group received routine follow-up,while the intervention group was followed up for home rehabilitation by using an on-demand rehabilitation program WeChat official accounts.This software included four application modules(information profile,intervention guidance,interactive consultation,and motivation),and different levels of permissions were set based on the management hierarchy to provide continued rehabilitation nursing intervention for post-arthroscopy patients.Results A total of 60 patients completed the study in each group.At 1 month and 3 months after surgery,the compliance of home-based trainingand patient activation in the intervention group were significantly better than those in the control group(all P<.0.05.).At 3 months after surgery,the scores of upper extremity function and lower extremity function evaluation in the intervention group were significantly better than those in the control group(all P<0.05).The overall score of usability rating of the system in the intervention group was 4.30±0.57,indicating good usability.Conclusion Application of the on-demand rehabilitation program WeChat official accounts can provide continuous,full process,and real-time health services for post-arthroscopy patients,improve their compliance of home-based rehabilitation training and promotelimb function recovery.