Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, MI.
Orthopaedic Surgery, Ascension Providence Rochester Hospital, Rochester, MI.
J Arthroplasty. 2021 Sep;36(9):3108-3117. doi: 10.1016/j.arth.2021.04.022. Epub 2021 Apr 24.
Digital patient engagement has been suggested as a mean to increase patient activation and patient satisfaction after total joint arthroplasty. The purpose of this study was to assess patient engagement with application-based educational tools and to explore what content was most useful to patients in the perioperative period surrounding total hip arthroplasty (THA) and total knee arthroplasty (TKA), respectively.
Patients undergoing THA and TKA between October 2017 and January 2020 were enrolled to use an application-based digital technology. The App provides comprehensive patient education using a series of modules delivered at set intervals preoperatively and postoperatively. Patient engagement was defined as patients viewing at least one time the modules that were sent, or marking them as completed. Patient satisfaction was assessed using an in-application survey.
Complete data were available on 207 patients of which 95 (46%) underwent THA and 112 (54%) underwent TKA. The average age was 60 years. 54% with patients invited to the program completed registration. An average compliance rate of 48% (41 modules engaged out of 83) was observed. Of all modules completed, the top three most popular categories included physical therapy/exercise videos, health literacy, and anxiety/stress/pain management. The least viewed category was nutrition planning and education.
When presented educational material related to THA and TKA, patients had a high rate of compliance. Digital technology platforms provide a scalable, meaningful approach to engaging patients throughout the continuum of joint replacement care and may serve as a cost-effective adjunct to traditional methods.
数字患者参与被认为是增加全关节置换术后患者积极性和满意度的一种手段。本研究旨在评估患者对基于应用的教育工具的参与度，并探讨在全髋关节置换术（THA）和全膝关节置换术（TKA）围手术期，哪些内容对患者最有用。
招募了 2017 年 10 月至 2020 年 1 月期间接受 THA 和 TKA 的患者使用基于应用的数字技术。该应用程序使用一系列模块在术前和术后的设定时间间隔提供全面的患者教育。患者参与被定义为患者至少查看一次发送的模块，或标记为已完成。患者满意度通过应用内调查进行评估。
共有 207 名患者的完整数据可用，其中 95 名（46%）接受了 THA，112 名（54%）接受了 TKA。平均年龄为 60 岁。有 54%的患者被邀请参加该项目完成了注册。观察到的平均合规率为 48%（83 个模块中有 41 个参与）。在所有完成的模块中，最受欢迎的三个类别包括物理治疗/锻炼视频、健康素养和焦虑/压力/疼痛管理。最不受欢迎的类别是营养计划和教育。
当提供与 THA 和 TKA 相关的教育材料时，患者的遵医嘱率很高。数字技术平台为在关节置换护理的整个连续体中参与患者提供了一种可扩展的、有意义的方法，并且可以作为传统方法的经济有效的辅助手段。
