[1]罗培培,邵梦烨,杨叶香,等.康复日记结合护理随访在老年髋关节置换术后功能康复的应用效果研究[J].中华老年骨科与康复电子杂志,2020,(04):230-235.[doi:10.3877/cma.j.issn.2096-0263.2020.04.008]
　Luo Peipei,Shao Mengye,Yang Yexiang,et al.Effect of interactive health diary combined with nursing follow-up intervention on functional rehabilitation in elderly patients undergoing total hip arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(04):230-235.[doi:10.3877/cma.j.issn.2096-0263.2020.04.008]
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康复日记结合护理随访在老年髋关节置换术后功能康复的应用效果研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年04期
页码:
230-235
栏目:
出版日期:
2020-08-05

文章信息/Info

Title:
Effect of interactive health diary combined with nursing follow-up intervention on functional rehabilitation in elderly patients undergoing total hip arthroplasty
作者:
罗培培; 邵梦烨; 杨叶香; 蔡蕾; 吴美娥; 黄师菊
510630 广州，中山大学附属第三医院关节外创伤骨科
Author(s):
Luo Peipei;  Shao Mengye;  Yang Yexiang;  Cai Lei;  Wu Meie;  Huang Shiju
Department of Joint Tradma, the Third Affiliated Hospital, Sun Yat-Sun University, Guangzhou 510630, China
关键词:
康复护理;  日记;  关节成形术; 置换; 髋;  老年人
Keywords:
Rehabilitation nursing;  Diary;  Arthroplasty;  replacement;  hip;  Aged
DOI:
10.3877/cma.j.issn.2096-0263.2020.04.008
文献标志码:
A
摘要:
目的 探讨康复日记结合微信随访干预在老年全髋关节置换术患者功能康复的应用效果。方法 将119例行老年人工全髋关节置换术的患者按照入院先后顺序随机分为干预组和对照组，对照予常规出院指导及门诊随访，干预组患者在常规指导的基础上，责任护士术前发放康复日记并进行相应指导，在出院后1个月、3个月、6个月实施微信随访。采用髋关节Harris量表及日常生活自理能力Barthel指数评定两组患者出院时、出院后1个月、3个月、6个月髋关节功能恢复及日常生活自理能力的改善情况。结果 干预组和对照组出院时、出院后1个月、3个月、6个月的Harris量表评分、Barthel指数进行重复测量设计的方差分析，显示干预组和对照组间差异有统计学意义（P＜0.05），组别与时间点之间存在交互作用，除第一个时间点两组无统计学意义，其它各时间点两组差异均具有统计学意义（P＜0.05），各组在各时间点间差异均有统计学意义（P＜0.05），干预组优于对照组。结论 互动康复日记结合护理随访有助于改善髋关节置换术后患者髋关节功能恢复，有效提高患者出院后的生活质量。
Abstract:
Objective In this study, we aimed to investigate the effect of interactive health diary combined with nursing follow-up intervention on functional rehabilitation in patients undergoing total hip replacement. Methods 119 elderly patients undergoing total hip arthroplasty were randomly divided into intervention group and control group according to the order of admission. The patients in control group were treated with routine discharge nursing and out-patient follow-up. Patients in the intervention group added interactive rehabilitation diary combined with nursing follow-up intervention on the basis of routine discharge guidance. The health diary was given to the patients before operation by the responsible nurse, and was followed up by WeChat at 1 month, 3 months and 6 months after discharge. The hip joint Harris scale and Barthe index were used to evaluate the recovery of hip joint function and improvement of daily living ability before discharge, 1 month, 3 months and 6 months after discharge independently. Results The variance analysis of Harris scale scores and Barthel index of the intervention group and the control group at the time of discharge, 1 month, 3 months and 6 months after discharge showed statistically significant difference between the intervention group and the control group (P<0.05). There was interaction between groups and time points, except for the first time point, there was no significant difference between the two groups, and the difference between the other time points werer statistically significant (P<0.05), and the difference between each group was statistically significant (P<0.05), and the intervention group was better than the control group.Conclusion The interactive rehabilitation diary combined with nursing follow-up is helpful to improve the recovery of hip function after hip replacement and improve the quality of life of patients after discharge.

备注/Memo

备注/Memo:
基金项目：中山大学附属第三医院护理科研基金（201609）
更新日期/Last Update: 2020-08-18