增强现实技术在髋关节置换患者全程管理健康模式中的应用  

Application of augmented reality in the whole health management of hip replacement patients

作　　者：廖霞 陈佳丽[1] 宁宁[1] 周宗科[2] 屈俊宏 王立群 李佩芳 张林 石小军[2] LIAO Xia;CHEN Jiali;NING Ning;ZHOU Zongke;QU Junhong;WANG Liqun;LI Peifang;ZHANG Lin;SHI Xiaojun(Department of Orthopedic Surgery,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University/Nursing Key Laboratory of Sichuan Province,Chengdu,Sichuan 610041,P.R.China;Department of Orthopedic Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院骨科/四川大学华西护理学院/护理学四川省重点实验室,成都610041 [2]四川大学华西医院骨科,成都610041

出　　处：《华西医学》2024年第10期1579-1584,共6页West China Medical Journal

摘　　要：目的探索将增强现实(augmented reality,AR)技术融入髋关节置换患者全程健康管理后的应用效果。方法选取2022年4月—9月四川大学华西医院骨科收治的髋关节置换患者。按照随机数字表法,将患者分为试验组和对照组。试验组患者采取全程AR健康管理模式,对照组患者采取常规健康教育模式。比较两组患者不同时间点髋关节功能评分、功能锻炼依从性、出院后应对困难、华西心晴指数和满意度情况的差异。结果共纳入患者80例,每组各40例。在术后各随访时间点,试验组关节功能评分、出院后应对困难情况均优于对照组(P<0.05);两组华西心晴指数评分比较,差异均无统计学意义(P>0.05)。试验组功能锻炼依从率(P=0.025)、患者满意度均高于对照组(Z=-4.918,P<0.05)。结论基于AR的全程健康管理,可使患者更容易掌握功能锻炼及健康生活知识,有利于提升患者锻炼依从性,改善关节功能恢复和日常生活能力,提高患者满意度,可在临床上推广应用。Objective To integrate augmented reality(AR)into the whole process of health management and observe its application effect in hip replacement patients.Methods Patients undergoing hip replacement in the Department of Orthopedic Surgery of West China Hospital,Sichuan University between April and September 2022 were selected.According to the random number table method,patients were divided into a trial group and a control group.The trial group adopted the whole process AR health management mode,and the control group adopted the conventional health education mode.The joint function score,functional exercise compliance,coping difficulties after discharge,Huaxi Emotional-distress Index and satisfaction of the two groups at different time points were compared.Results A total of 80 patients were included,with 40 patients in each group.At each follow-up time point after surgery,the scores of Harris Hip Score and Post-Discharge Coping Difficulty Scale among trial group patients were better than those of the control group patients(P<0.05).There was no statistically significant difference in the Huaxi Emotional-distress Index scores between the two groups(P>0.05).The compliance rate of functional exercise in the trial group(P=0.025)and the patient satisfaction were higher than those in the control group(Z=−4.918,P<0.05).Conclusions The AR-based whole process health management can make it easier for patients to grasp functional exercise(preoperative pre-exercise,postoperative rehabilitation),post-hospital health guidance and other educational knowledge.This new health management is conducive to enhancing patients’exercise compliance,strengthening joint function recovery,daily living ability and patient satisfaction.It can be promoted and applied in clinical practice.

关 键 词：髋关节置换 全程管理 增强现实 

分 类 号：R473.6[医药卫生—护理学]