摘要
目的观察远程康复治疗运用在单侧膝关节周围骨折(FAK)内固定术后患者中的可行性、有效性和是否可以作为一种康复模式替代门诊康复。方法46例单侧FAK内固定术后患者,按照个人意愿分为对照组、观察组,每组23例。两组患者在围手术期均实施常规护理、康复指导及健康宣教。对照组患者到医院门诊与治疗师面对面进行康复治疗,观察组患者出院前与治疗师相互添加微信并建立远程康复组群聊进行远程康复治疗。比较两组患者治疗前后的膝关节功能及日常生活活动能力。结果治疗前,对照组改良Barthel指数(MBI)评分为(62.22±6.90)分,纽约特种外科医院(HSS)评分为(51.55±7.92)分;观察组MBI评分为(62.50±6.17)分,HSS评分为(52.45±8.04)分。治疗后,对照组MBI评分为(91.66±5.42)分,HSS评分为(88.83±6.34)分;观察组MBI评分为(90.75±4.94)分,HSS评分为(88.30±6.05)分。治疗后,两组患者HSS评分与MBI评分均高于本组治疗前,差异具有统计学意义(P<0.05);两组患者治疗后HSS评分与MBI评分组间比较,差异无统计学意义(P>0.05)。结论远程康复应用在单侧FAK内固定术后患者中具有可行性和有效性,且由于远程康复独特的优点,使其可以作为门诊康复治疗的替代方式。
Objective To observe the feasibility and effectiveness of tele-rehabilitation therapy for patients after internal fixation of unilateral fracture around the knee(FAK)and whether it can be used as a rehabilitation model instead of outpatient rehabilitation.Methods 46 patients after internal fixation of unilateral FAK were divided into a control group and an observation group according to personal preference,with 23 cases in each group.Both groups of patients underwent routine nursing,rehabilitation guidance,and health education during the perioperative period.The patients in the control group went to the hospital outpatient department for face-to-face rehabilitation treatment with the therapist,while the patients in the observation group added WeChat to each other with the therapist and established a remote rehabilitation group chat for tele-rehabilitation therapy before discharge.The knee joint function and the activities of daily living before and after treatment were compared between the two groups.Results Before treatment,the modified Barthel index(MBI)score of the control group was(62.22±6.90)points,and the Hospital for Special Surgery(HSS)score was(51.55±7.92)points;the MBI score of the observation group was(62.50±6.17)points,and the HSS score was(52.45±8.04)points.After treatment,the MBI score and HSS score of the control group were(91.66±5.42)and(88.83±6.34)points,and those of the observation group were(90.75±4.94)and(88.30±6.05)points.After treatment,HSS score and MBI score in both groups were higher than those before treatment,and the difference was statistically significant(P<0.05).After treatment,there was no significant difference in HSS score and MBI score between the two groups(P>0.05).Conclusion The application of tele-rehabilitation is feasible and effective for patients after internal fixation of unilateral FAK,and because of its unique advantages,it can be used as an alternative to outpatient rehabilitation treatment.
作者
用明金
王承烁
YONG Ming-jin;WANG Cheng-shuo(Clinical School of Traditional Chinese Medicine,Kangda College,Nanjing Medical University,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222000,China)
出处
《中国实用医药》
2024年第5期166-169,共4页
China Practical Medicine
基金
南京医科大学康达学院2021年度科研发展基金(项目编号:KD2021KYJJZD034)。
关键词
远程康复
膝关节周围骨折
内固定术
康复指导
Tele-rehabilitation therapy
Fractures around the knee
Internal fixation
Rehabilitation guidance
