Application of post-hospital extended nursing based on WeChat public platform in total knee replacement patients
10.3760/cma.j.issn.1674-2907.2018.16.015
- VernacularTitle:基于微信公众平台的院外延续护理在人工膝关节置换术患者中的应用
- Author:
Zhanying SHEN
1
;
Qiu SHEN
;
Yaqin CAO
Author Information
1. 313000,浙江省湖州第一人民医院骨科
- Keywords:
Arthroplasty;
replacement;
knee;
Extended nursing;
WeChat;
Postoperative rehabilitation
- From:
Chinese Journal of Modern Nursing
2018;24(16):1919-1922
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of post-hospital extended nursing based on WeChat public platform in total knee arthroplosty (TKA) patients' so as to provide a reference for the diversity of extended nursing. Methods From September 2015 to May 2017, we selected 140 TKA patients from Huzhou First People's Hospital of Zhejiang Province by simple random sampling. All of the patients were divided into observation group (n=70) and control group (n=70) according to the discharge order. Patients of control group were treated with routine discharge instructions and follow-up. On this basis, patients of observation group accepted extended nursing based on WeChat public platform. We compared the score of the Hospital for Special Surgery Knee Score (HSS), modified Barthel index (MBI) and satisfaction of patients in two groups. Results There was no significant difference in the score of HSS and MBI of patients in two groups before discharge (P>0.05). There were significant differences in the scores of HSS between observation group [(66.8±5.6), (72.8±5.7), (83.7±5.8) respectively]and control group [(61.2±5.8), (67.5±5.8), (72.8±5.9) respectively]one, three and six months after discharge (P< 0.05). Six months after discharge, the score of MBI of observation group was (92.2±6.3) significantly higher than that of control group (81.4±7.1) (P<0.05). The overall satisfaction of observation group and control group was (96.5±1.2) and (92.8±1.5) respectively with a significant difference (P<0.05). Conclusions Post-hospital extended nursing based on WeChat public platform can promote TKA patients' postoperative rehabilitation and improve patients' activities of daily living.
