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[目的]探讨骨关节俱乐部结合应用微信平台对行全髋关节置换术的病人出院后康复效果的影响。[方法]将60例全髋关节置换术后出院病人按出院时间顺序分为观察组和对照组,每组30例。对照组病人出院时进行常规健康教育、骨科门诊定期随访及病区医护人员电话随访的方式指导病人功能锻炼,观察组在此基础上通过出院时添加微信平台并定期参加科室内举行的关节俱乐部活动指导病人功能锻炼,比较两组病人术后第1个月、第3个月髋关节功能评分、视觉模拟评分(VSA)及Barthel指数。[结果]观察组术后第1个月、第3个月髋关节功能评分高于对照组,术后第3个月VSA评分明显低于对照组,术后第1个月、第3个月Barthel指数明显高于对照组,经比较差异均有统计学意义(P<0.05)。[结论]关节俱乐部结合应用微信平台可提高行全髋关节置换术的病人出院后的康复效果,有利于病人快速康复。
[Objective] To explore the effect of combined application of WeChat platform and club on the rehabilitation of discharged patients undergoing total hip arthroplasty. [Methods] Sixty patients discharged after total hip arthroplasty were divided into observation group and control group according to the discharge time sequence, 30 cases in each group. Patients in the control group were discharged at regular hospital health education, regular follow-up of orthopedic clinics and telephone follow-up of ward medical staff to guide the patient’s functional exercise. On the basis of this, the observation group added WeChat platform on discharge and regularly participated in joint club activities The patient’s functional exercise was instructed. The hip function score, visual analogue scale (VSA) and Barthel index at the first month and the third month after operation were compared between the two groups. [Results] The scores of hip joint function in the first month and the third month after operation in the observation group were higher than those in the control group. The score of VSA in the third month after operation in the observation group was significantly lower than that in the control group. The first month and the third month Barthel index was significantly higher than the control group, the difference was statistically significant (P <0.05). [Conclusion] The combination of joint club and WeChat platform can improve the recovery effect of discharged patients after total hip arthroplasty, which is in favor of rapid recovery of patients.