手机病患管理应用程序在膝关节置换患者宣教和随访中的应用  

The mobile application of patient management in education and follow-up for patients following total knee arthroplasty

作　　者：黄萍[1] 何洁[1] 张玉梅[1] 

机构地区：[1]第三军医大学新桥医院骨科,重庆400037

出　　处：《中华医学杂志》2017年第20期1592-1595,共4页National Medical Journal of China

摘　　要：目的将病患管理手机程序应用于膝关节置换患者的宣教及随访后对于相关临床结局的改善作用。方法选取第三军医大学新桥医院骨科2016年5至10月收治的150例行膝关节置换的患者，数字随机分为两组。观察组在传统的面对面宣教的基础上联合此应用程序行健康宣教和功能锻炼指导，并进行跟踪随访。对照组则采用传统的面对面宣教和电话跟踪随访。观察两组在膝关节活动度，出院后依从性以及满意度的评分情况。结果最终纳入并完成观察研究的患者为132例。观察组、对照组在术后2个月的膝关节活动度分别为（110．83±6．83）°和（105．45±7．53）°，差异具有统计学意义（P〈0．05）；两组在术后3个月的膝关节活动度分别为（110．00±6．33）°和（103．26±7．57）°，差异有统计学意义（P〈0．05）；另外观察组患者的出院后依从性及出院时满意度调查结果也都优于对照组（P〈0．05）。结论传统的面对面宣教联合病患管理手机应用程序宣教能提高膝关节置换患者的功能锻炼效果、依从性及出院满意度，也能有效提升护士宣教效率，值得临床上大力推广。Objective To apply themobile application of patient management in education and follow-up for patients following total knee arthroplasty, and evaluate the clinical outcomes. Methods A total of 150 patients following total knee arthroplasty were chosen from May to October 2016 in orthopaedics department of our hospital, and they were randomly divided into two groups. On the basis of the traditional education, the observation group combined with the APP education, guidance of functional exercise and follow-up. While traditional face-to-face and telephone education were combined to control group. The activity, compliance and satisfaction score of the two groups were observed. Results Finally, 132 patients were included in the study. The postoperative range of motion of the two groups in February were respectively （ 110. 83 ± 6. 83 ） °and （ 105.45 ± 7.53 ） °, the difference was statistically significant （ P 〈 0. 05 ） ; the range of motion in March were respectively （ 110 ± 6. 33） °and （ 103.26 ± 7.57 ） °, the difference was statistically significant too （P 〈0. 05 ） ;Patients＇s compliance and satisfaction score in observation group were significantly better than control group （ P 〈 0. 05 ）. Conclusion Combination of traditional face-to-face education with mobile application will improve effects of functional training, compliance, and hospital-discharge satisfaction, it will also both shorten the education time and increase the education efficiency. To sum up, it＇s worth being widely applied clinically.

关 键 词：手机应用程序 膝关节置换 宣教 随访 依从性 

分 类 号：R473.6[医药卫生—护理学]