首页|移动康复APP对膝关节置换术后患者居家康复疗效影响的研究

移动康复APP对膝关节置换术后患者居家康复疗效影响的研究

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目的 探讨一款自主研发的移动康复应用软件(APP)对膝关节骨性关节炎(KOA)患者膝关节置换术(TKA)后居家康复疗效的影响.方法 选取赣南医科大学第一附属医院骨科于2021年4月—2022年4月收治的43例已行TKA的KOA患者作为研究对象.采用随机数字表法将患者分为2组,其中对照组(21例)采用常规电话随访,试验组(22例)接受基于移动康复APP指导的康复治疗.分别在出院时、出院后2周及出院后8周对2组患者采用视觉疼痛模拟评分量表(VAS)、膝关节主动关节活动度(AROM)、膝关节协会评分(KSS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)进行评估.结果 43例患者无脱落情况,在出院后8周内均无并发症发生.分析2组患者不同时间点KSS临床评分、KSS功能评分、WOMAC评分、AROM、VAS评分的结果显示:时间效应均有统计学意义(P<0.05),这表明2组患者的KSS临床评分、KSS功能评分、WOMAC评分、AROM、VAS评分随时间而改变;2组患者KSS临床评分、KSS功能评分、WOMAC评分、AROM组间效应差异均有统计学意义(P<0.05),2组患者VAS评分组间效应差异无统计学意义(P>0.05);2组患者KSS临床评分、KSS功能评分、AROM、VAS评分交互效应无统计学意义(P>0.05),2组患者WOMAC评分交互效应具有统计学意义(P<0.05).无论试验组和对照组,与出院时相比,患者出院后2周和出院后8周的WOMAC总分均有所下降(P<0.05).此外,试验组与对照组在出院时WOMAC总分差异无统计学意义(P>0.05),在出院后2周和出院后8周时,2组患者的WOMAC总分差异均存在统计学意义(P<0.05).结论 移动康复APP指导下的居家康复有助于改善KOA患者TKA后的膝关节功能,改善患者日常生活活动能力.
Effectiveness of mobile rehabilitation App on home rehabilitation in patients after knee replacement surgery
Objective To investigate the impact of a self-developed mobile rehabilitation application (App) on the home reha-bilitation efficacy of patients undergoing knee replacement surgery (TKA) for knee osteoarthritis (KOA).Methods A total of 43 KOA patients who underwent TKA from April 2021 to April 2022 were selected and randomly assigned to two groups:the control group (n=21) receiving conventional telephone follow-ups,and the experimental group (n=22) receiving reha-bilitation guidance via the mobile app.Evaluations using the Visual Analogue Scale (VAS),Active Range of Motion (AROM),Knee Society Score (KSS),and Western Ontario and McMaster Universities Arthritis Index (WOMAC) were conducted at discharge,two weeks post-discharge,and eight weeks post-discharge.Results None of the 43 patients dropped out,and no complications occurred within 8 weeks post-discharge.The analysis of KSS clinical scores,KSS func-tional scores,WOMAC scores,AROM,and VAS scores at different time points revealed that the time effect was statisti-cally significant (P<0.05),indicating changes over time in all measures for both groups.Group effects showed significant differences in KSS clinical scores,KSS functional scores,WOMAC scores,and AROM between groups (P<0.05),but no significant difference in VAS scores (P>0.05).Interaction effects were not statistically significant for KSS clinical scores,KSS functional scores,AROM,and VAS scores (P>0.05),but significant for WOMAC scores (P<0.05).For both ex-perimental and control groups,WOMAC total scores significantly decreased at 2 weeks and 8 weeks post-discharge com-pared to discharge (P<0.05).There was no significant difference in WOMAC total scores between the groups at discharge (P>0.05),but significant differences were noted at 2 weeks and 8 weeks post-discharge (P<0.05).Conclusion Home rehabilitation guided by the mobile rehabilitation App helps improve knee joint function and activities of daily living in pa-tients with KOA after TKA.

Knee osteoarthritisKnee replacement surgeryMobile rehabilitation App

王茂源、邹美萱、肖丽、罗云、钟燕彪

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赣南医科大学第一附属医院康复医学科,江西赣州 341400

江西省赣州市智能康复技术创新中心,江西赣州 341400

江西省赣州市康复医学重点实验室,江西赣州 341400

膝骨关节炎 膝关节置换术 移动康复应用软件

江西省赣州市科技局项目

GZ2020ZSF083

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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