Ortiz-Piña Mariana, Salas-Fariña Zeus, Mora-Traverso Marta, Martín-Martín Lydia, Galiano-Castillo Noelia, García-Montes Inmaculada, Cantarero-Villanueva Irene, Fernández-Lao Carolina, Arroyo-Morales Manuel, Mesa-Ruíz Antonio, Castellote-Caballero Yolanda, Salazar-Graván Susana, Kronborg Lise, Martín-Matillas Miguel, Ariza-Vega Patrocinio
Department of Physiotherapy, Faculty of Health Science, University of Granada, Granada, Spain.
PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.
Res Nurs Health. 2019 Feb;42(1):29-38. doi: 10.1002/nur.21922. Epub 2018 Nov 16.
Home-based tele-rehabilitation programs are under development and may be a future option for some patients. The objectives of this non-randomized clinical trial are to design a home-based multidisciplinary tele-rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home-based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre-fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight-bearing, and with signed informed consent, will be allocated into a tele-rehabilitation group (n = 35) or a control group (n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro-Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele-rehabilitation as an option to promote recovery of the pre-fracture functional level for some patients with a hip fracture. ClinicalTrials.gov Identifier: NCT02968589NCT.
基于家庭的远程康复项目正在开发中,可能会成为一些患者未来的选择。这项非随机临床试验的目的是为髋部骨折患者设计一种基于家庭的多学科远程康复方案,并将该方案与基于家庭的常规门诊康复方案进行比较。70例65岁及以上急性髋部骨折患者,骨折前功能水平较高(功能独立性测量评分>90),无严重认知障碍,无终末期疾病,术后出院回家或亲属家,允许负重,并签署知情同意书,将被分配到远程康复组(n = 35)或对照组(n = 35)。干预组的纳入标准是有一名能够上网且愿意在家与患者一起进行锻炼和活动的照顾者。干预措施包括一项体育锻炼和职业治疗计划(12周内每周进行5次),以及向患者及其照顾者提供的建议,所有这些都通过网站提供。将在出院时、4周和12周评估患者的功能水平(功能独立性测量)、生活质量(欧洲生活质量量表)、身体表现(起立行走测试)、照顾者负担(扎里特访谈)以及其他描述性数据。该项目将增加有关远程康复作为促进一些髋部骨折患者恢复骨折前功能水平的一种选择的可行性的知识。ClinicalTrials.gov标识符:NCT02968589NCT。
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