Effect of medical alliance combined with video recording guidance on the out-of-hospital rehabilitation of elderly patients undergoing hip replacement
10.3760/cma.j.cn115682-20200727-04609
- VernacularTitle:医联体结合录像指导对老年髋关节置换术患者院外康复的效果观察
- Author:
Peixia WANG
1
;
Wenying WANG
;
Ying YANG
;
Miaoran CUI
;
Hui ZHAO
;
Ying LI
Author Information
1. 郑州大学第一附属医院骨科，郑州 450000
- Keywords:
Arthroplasty, replacement, hip;
Aged;
Medical alliance;
Video recording guidance
- From:
Chinese Journal of Modern Nursing
2021;27(10):1340-1344
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of medical alliance combined with video recording guidance on the out-of-hospital rehabilitation of elderly patients undergoing hip replacement.Methods:Using the convenient sampling method, a total of 58 aged patients who were hospitalized in the Department of Orthopedics and underwent hip replacement in the First Affiliated Hospital of Zhengzhou University from March 2018 to June 2019 were selected as research objects. They were randomly divided into the observation group and the control group, with 29 cases in each group. The control group was given conventional out-of-hospital rehabilitation management while the observation group was given medical alliance combined with video recording guidance. The serum albumin, Harris score, total body skeletal muscle mass, skeletal muscle mass of the affected limb, incidence of deep venous thrombosis (DVT) and incidence of artificial hip dislocation were compared between the two groups before and after the intervention.Results:After intervention, the serum albumin of the observation group was (36.73±1.95) g/L, the Harris score was (89.29±5.25) , the total body skeletal muscle mass was (17.91±1.18) kg and the skeletal muscle mass of the affected limb was (5.38±0.79) kg, which were all higher than those of the control group, and the differences were statistically significant ( t=3.524, 7.231, 4.584, 4.252; P<0.05) . After intervention, the incidence of DVT in the observation group was 3.45% (1/29) , and the difference was not statistically significant when compared with 13.79% (4/29) in the control group (χ 2=1.970, P>0.05) . After the intervention, the incidence of artificial hip dislocation in the observation group was 0 (0/29) , which was lower than 20.69% (6/29) in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:Medical consortium combined with video guidance can effectively improve the out-of-hospital rehabilitation effect of elderly patients undergoing hip replacement surgery and reduce the occurrence of complications. Medical alliance combined with video recording guidance can effectively improve the out-of-hospital rehabilitation effect of elderly patients with artificial hip replacement and reduce the incidence of complications.
