Orthopedics Department, Dushu Lake Hospital Affiliated to Soochow University, Suzhou, 215124, Jiangsu Province, PR China.
Department of Nursing, Dushu Lake Hospital Affiliated to Soochow University, Suzhou, 215124, Jiangsu Province, PR China.
Int J Orthop Trauma Nurs. 2024 May;53:101062. doi: 10.1016/j.ijotn.2023.101062. Epub 2023 Oct 21.
There is significant interest in the use of web-based technologies for rehabilitation of patients after total knee arthroplasty (TKA). BPMpathway is a combination of a wireless BPMpro sensor and mobile app to provide a personalized post-operative support programme for TKA patients.
To investigate the impact of the BPMpathway exercise rehabilitation system on home rehabilitation for TKA patients.
This study had a quasi-experimental design and was conducted with 42 inpatients after TKA. Patients were divided into a control group (n = 21) and an intervention group (n = 21) according to sequence of hospitalization. After discharge, patients in the control group received routine follow-up outside the hospital, while the intervention group, underwent out-of-hospital transitional care utilizing the BPMpathway exercise rehabilitation system. Knee function scores (HSS), quality of life scores (SF-36), and functional exercise compliance scores were compared between the two groups at 1, 3, and 6 months after TKA.
The between-group differences in knee function were statistically significant at 1, 3, and 6 months post-operation (t = 6.299, 10.021, 13.064, all P < 0.05). There were between-group significant differences observed in functional exercise compliance and quality of life at 1 and 3 months (t = 7.166, 2.435, both P < 0.05; t = 2.879, 3.117, both P < 0.05). However, there were no significant differences at 6 months in these two respects (t = 0.167, 0.901, both P > 0.05).
The BPMpathway exercise rehabilitation system seems to be potential effective in improving knee function, early compliance with functional exercise and quality of life in TKA patients.
人们对使用基于网络的技术来帮助全膝关节置换术（TKA）后的患者进行康复治疗非常感兴趣。BPMpathway 是一种由无线 BPMpro 传感器和移动应用程序组成的组合，为 TKA 患者提供个性化的术后支持计划。
研究 BPMpathway 运动康复系统对 TKA 患者家庭康复的影响。
本研究采用准实验设计，共纳入 42 例 TKA 后住院患者。根据住院顺序将患者分为对照组（n=21）和干预组（n=21）。出院后，对照组患者在院外接受常规随访，而干预组患者则在院外利用 BPMpathway 运动康复系统接受过渡性护理。在 TKA 后 1、3 和 6 个月，比较两组患者的膝关节功能评分（HSS）、生活质量评分（SF-36）和功能锻炼依从性评分。
术后 1、3 和 6 个月，两组患者的膝关节功能差异均具有统计学意义（t=6.299、10.021、13.064，均 P<0.05）。术后 1 和 3 个月，两组患者的功能锻炼依从性和生活质量差异均具有统计学意义（t=7.166、2.435，均 P<0.05；t=2.879、3.117，均 P<0.05）。但在 6 个月时，这两个方面的差异均无统计学意义（t=0.167、0.901，均 P>0.05）。
BPMpathway 运动康复系统似乎可以有效改善 TKA 患者的膝关节功能，提高其早期功能锻炼依从性和生活质量。
