Department of Joint Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250000, China.
Department of Orthopedic Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China.
Biomed Res Int. 2021 Oct 22;2021:5058899. doi: 10.1155/2021/5058899. eCollection 2021.
Emerging evidence suggests video-assisted health education being an effective way in promoting rehabilitation. The present study was aimed at evaluating the effectiveness of video-assisted health education in promoting rehabilitation training in postoperative OA patients and at comparing it with oral education. This study was a noncontemporaneous control study involving 179 patients who underwent TKA. For the intervention group, a bedside interactive system that recorded a series of educational videos showing a rehabilitation training program was established. For the control group, oral education having the same content as that in the videos for the intervention group was provided. After education, clinical outcomes such as occurrence of complications, circulating biomarkers of inflammation, and rehabilitation progress of the patients were obtained. Furthermore, job stress and burnout in nurses who participated in the present study were assessed. Results showed that C-reactive protein levels of patients were significantly lower in the intervention group than in the control group (84.54 ± 36.09 vs. 99.45 ± 31.73 mg/L, = 0.004). Faster achievement of postoperative knee flexion to 90 degrees (21.31 ± 5.83 vs. 35.72 ± 9.93 h, < 0.001) and first ambulation (19.91 ± 4.57 vs. 50.15 ± 7.00 h, < 0.001), reduced number of postoperative complications such as postoperative orthostatic intolerance (7 vs. 19, = 0.008) and constipation (10 vs. 23, = 0.009), and reduced length of hospital stay (7.51 ± 1.79 vs. 8.21 ± 2.15 days, = 0.019) in the intervention group in comparison to the control group were noted. Emotional exhaustion and burnout of nurses were reduced significantly in the intervention group than in the control group (21.00 ± 8.04 vs. 36.50 ± 11.22, = 0.002; 55.90 ± 11.57 vs. 85.50 ± 6.80, < 0.001, respectively). Reduced personal accomplishments in nurses were improved significantly in the intervention group when compared with the control group (41.90 ± 4.91 vs. 32.80 ± 7.07, = 0.004). We concluded that video-assisted health education may promote TKA patient recovery and reduce burnout and stress in nurses when compared with oral education. Video-assisted health education could be helpful in situation where manpower of nurse is in shortage.
新兴证据表明，视频辅助健康教育是促进康复的有效方法。本研究旨在评估视频辅助健康教育在促进术后 OA 患者康复训练中的有效性，并将其与口头教育进行比较。这是一项非同期对照研究，共纳入 179 例接受 TKA 的患者。对于干预组，建立了床边交互系统，记录了一系列展示康复训练计划的教育视频。对于对照组，提供了与干预组视频内容相同的口头教育。在教育后，获得了患者并发症的发生、炎症的循环生物标志物以及康复进展等临床结果。此外，评估了参与本研究的护士的工作压力和倦怠情况。结果显示，与对照组相比，干预组患者的 C 反应蛋白水平显著降低（84.54±36.09 与 99.45±31.73 mg/L，=0.004）。术后膝关节屈曲达到 90 度的时间更快（21.31±5.83 与 35.72±9.93 h，<0.001）和首次下床活动的时间（19.91±4.57 与 50.15±7.00 h，<0.001），术后并发症如术后直立不耐受（7 例与 19 例，=0.008）和便秘（10 例与 23 例，=0.009）的发生例数减少，住院时间缩短（7.51±1.79 与 8.21±2.15 d，=0.019）。与对照组相比，干预组护士的情绪衰竭和倦怠明显减少（21.00±8.04 与 36.50±11.22，=0.002；55.90±11.57 与 85.50±6.80，<0.001）。与对照组相比，干预组护士的个人成就感显著提高（41.90±4.91 与 32.80±7.07，=0.004）。我们的结论是，与口头教育相比，视频辅助健康教育可以促进 TKA 患者的康复，减轻护士的倦怠和压力。在护士人力短缺的情况下，视频辅助健康教育可能会有所帮助。
