首页|两种不同随访干预模式对全髋关节置换术后患者康复效果的影响

两种不同随访干预模式对全髋关节置换术后患者康复效果的影响

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目的 探讨患者采用单纯线上随访模式与线上+线下的综合随访模式,两种不同随访方式对全髋关节置换术后康复效果的影响。方法 选择2022年8月-12月在四川大学华西医院骨科行全髋关节置换术的患者。根据患者意愿分为观察组和对照组。观察组实行综合随访模式,对照组实行单纯线上随访模式,比较两组患者术后3、8、26和52周关节功能、日常生活能力、华西心晴指数、随访满意度、并发症及再入院发生情况。结果 共纳入患者83例。其中,对照组41例,观察组42例。两组患者个人基本资料、疾病相关资料比较,差异均无统计学意义(P>0。05)。观察组患者术后8、26和52周关节功能与日常生活能力均优于对照组(P<0。05);两组患者术后52周华西心晴指数与随访满意度比较,差异均无统计学意义(P>0。05);观察组患者并发症发生率低于对照组(P<0。05)。结论 综合随访模式在对患者直接的身体评估、伤口情况评估、深入沟通交流、及时反馈与调整等方面更具优势,能够提高患者术后关节功能、提升日常生活能力,减少术后并发症的发生。
Effect of two different follow-up intervention modes on the rehabilitation of patients after total hip arthroplasty
Objective To investigate the effects of online follow-up mode and online+offline follow-up mode on rehabilitation after total hip arthroplasty.Methods Patients who underwent total hip arthroplasty in the Department of Orthopedic Surgery,West China Hospital of Sichuan University between August and December 2022 were selected.According to personal preference,the included patients were divided into an observation group and a control group.The observation group underwent comprehensive follow-up mode,while the control group underwent simple online follow-up mode.Joint function,daily living ability,Huaxi Emotional-distress Index,follow-up satisfaction,complications and readmission were compared between the two groups at 3,8,26 and 52 weeks after surgery.Results A total of 83 patients were included.Among them,there were 41 cases in the control group and 42 cases in the observation group.There was no statistically significant difference in personal basic information and disease-related data between the two groups(P>0.05).The joint function and daily living ability of the observation group were better than those of the control group at 8,26,and 52 weeks after surgery(P<0.05).There was no significant difference between the two groups in Huaxi Emotional-distress Index and follow-up satisfaction at 52 weeks after operation(P>0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions The comprehensive follow-up model has more advantages in direct physical assessment,wound assessment,in-depth communication,timely feedback and adjustment,which can improve patients'postoperative joint function,enhance their daily life ability,and reduce the occurrence of postoperative complications.

Total hip arthroplastyfollow-up visitrehabilitation effect

蒲兴翠、屈俊宏、宁宁、陈佳丽、李佩芳、张林、王立群、朱红彦、周宗科

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四川大学华西医院骨科/四川大学华西护理学院(成都 610041)

全髋关节置换术 随访 康复效果

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(10)