Development and effect evaluation of a staged exercise prescription for patients with knee osteoarthritis based on internet information systems
10.3760/cma.j.cn115682-20240610-03249
- VernacularTitle:基于互联网信息系统的骨性膝关节炎患者分阶段运动处方的构建及效果评价
- Author:
Xinyan ZHU
1
;
Quyun ZHANG
;
Qian SONG
;
Dongni SHI
;
Rong NING
;
Jing ZHANG
Author Information
1. 首都医科大学附属北京友谊医院麻醉手术中心，北京 100050
- Publication Type:Journal Article
- Keywords:
Knee osteoarthritis;
Rehabilitation nursing;
Exercise prescription;
Internet information system
- From:
Chinese Journal of Modern Nursing
2025;31(15):1996-2004
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a staged exercise prescription for patients with Knee Osteoarthritis (KOA) based on internet information systems and evaluate its effectiveness, in order to provide a reference for exercise rehabilitation guidance for KOA patients.Methods:A systematic review of guidelines, expert consensus, systematic reviews, and evidence summaries on exercise prescriptions for osteoarthritis from January 1, 2012, to December 31, 2022, was conducted. After literature screening, semi-structured interviews, and expert consultations, a staged exercise prescription for KOA patients based on internet information systems was formulated. From April to October 2023, 90 KOA outpatients from Beijing Friendship Hospital, Capital Medical University, were selected using convenience sampling and randomly divided into the observation group and the control group, each with 45 cases. The control group received routine rehabilitation nursing, while the observation group implemented the staged exercise prescription based on the internet information system. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Multidimensional Self-Efficacy for Exercise Scale (MSES) were used for evaluation before the intervention and at 4, 8, 16, and 24 weeks post-intervention. After the intervention, the Exercise Adherence Rating Scale (EARS) was used to assess exercise adherence in both groups.Results:A staged exercise prescription consisting of three phases and 27 items was successfully developed. At 8, 16, and 24 weeks after the intervention, the observation group had significantly lower scores in the pain, stiffness, and daily activity dimensions of the WOMAC compared to the control group, and the differences were statistically significant ( P<0.05). At the same time points, the observation group had significantly higher MSES scores than the control group, and the differences were statistically significant ( P<0.05). At 16 and 24 weeks post-intervention, the EARS scores of the observation group were also significantly higher than those of the control group, with statistically significant differences ( P<0.05) . Conclusions:The staged exercise prescription for KOA patients based on internet information systems is both scientifically valid and feasible. It can effectively alleviate knee joint symptoms, enhance exercise self-efficacy, and improve exercise adherence.
