思维导图联合人工智能音箱对全髋关节置换术后延续护理的效果

王春燕, 郭宗晓, 洪小丽, 陈志刚

王春燕, 郭宗晓, 洪小丽, 陈志刚. 思维导图联合人工智能音箱对全髋关节置换术后延续护理的效果[J]. 实用临床医药杂志, 2021, 25(12): 102-105. DOI: 10.7619/jcmp.20210763
引用本文: 王春燕, 郭宗晓, 洪小丽, 陈志刚. 思维导图联合人工智能音箱对全髋关节置换术后延续护理的效果[J]. 实用临床医药杂志, 2021, 25(12): 102-105. DOI: 10.7619/jcmp.20210763
WANG Chunyan, GUO Zongxiao, HONG Xiaoli, CHEN Zhigang. Effect of mind mapping combined with artificial intelligence speaker on continuous care after total hip arthroplasty[J]. Journal of Clinical Medicine in Practice, 2021, 25(12): 102-105. DOI: 10.7619/jcmp.20210763
Citation: WANG Chunyan, GUO Zongxiao, HONG Xiaoli, CHEN Zhigang. Effect of mind mapping combined with artificial intelligence speaker on continuous care after total hip arthroplasty[J]. Journal of Clinical Medicine in Practice, 2021, 25(12): 102-105. DOI: 10.7619/jcmp.20210763

思维导图联合人工智能音箱对全髋关节置换术后延续护理的效果

基金项目: 

江苏省南通市科技局基金资助项目 MSZ18062

详细信息
    通讯作者:

    陈志刚, E-mail: dzgchen@126.com

  • 中图分类号: R816.8;R274.1

Effect of mind mapping combined with artificial intelligence speaker on continuous care after total hip arthroplasty

  • 摘要:
      目的  观察思维导图联合人工智能(AI)音箱应用于老年全髋关节置换(THR)术后延续护理的效果。
      方法  将102例老年THR术后患者随机分为对照组(52例)和研究组(50例)。对照组接受常规电话随访式延续护理,研究组在对照组基础上接受思维导图联合AI音箱模式延续护理。分析2组出院时和出院后1、3个月的髋关节功能Harris评分、视觉模拟评分法(VAS)评分;分析2组入院时和出院后3个月的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分;比较2组出院后3个月内并发症发生率及延续性护理满意率。
      结果  出院后1、3个月,2组Harris评分高于出院时,VAS评分低于出院时,且研究组出院后3个月的Harris评分高于对照组,VAS评分低于对照组,差异有统计学意义(P < 0.05);出院后3个月,2组SAS评分、SDS评分低于入院时,且研究组SAS评分、SDS评分均低于对照组,差异有统计学意义(P < 0.05)。出院后3个月内,研究组的并发症发生率低于对照组,延续性护理满意率高于对照组,差异有统计学意义(P < 0.05)。
      结论  思维导图联合AI音箱模式比电话随访式更能有效提高老年THR术后患者的延续性康复效果及护理满意率,并可改善负面情绪。
    Abstract:
      Objective  To observe the effect of mind mapping combined with artificial intelligence (AI) speaker applied in continued nursing care in elderly patients after total hip arthroplasty (THR).
      Methods  A total of 102 elderly patients after THR were randomly divided into control group (52 cases) and study group (50 cases). The control group received conventional telephone follow-up for continuous nursing, and the study group received mind mapping combined with AI speaker mode for continuous nursing on the basis of the control group. The Harris scores and Visual Analogue Scale (VAS) scores of hip joint function were analyzed in the two groups at discharge, 1 month and 3 months after discharge. The Self-rating Anxiety Scale (SAS) score and Self-rating Depression Scale (SDS) score were compared in the two groups at admission and 3 months after discharge.The incidence of complications and the satisfaction rate of continuous care within 3 months after discharge were compared between the two groups.
      Results  At 1 month and 3 months after discharge, Harris scores in the two groups were significantly higher than that at discharge, VAS score was significantly lower, Harris score in the study group was significantly higher than that in the control group at 3 months after discharge, and VAS score in the study group was significantly lower than that in the control group (P < 0.05). Three months after discharge, SAS and SDS scores in both groups were significantly lower than those at admission, and the SAS and SDS scores of the study group were significantly lower than those of the control group (P < 0.05). Within 3 months after discharge, the incidence of complications in the study group was significantly lower than that in the control group, and the satisfaction rate of continuous care was significantly higher than that in the control group (P < 0.05).
      Conclusion  Mind mapping combined with AI speaker mode is more effective than telephone follow-up mode in improving the continuous rehabilitation effect, nursing satisfaction rate as well as negative emotions of elderly patients after THR surgery.
  • 图  1   思维导图联合AI音箱的延续护理模式流程图

    表  1   2组患者一般资料比较(x±s)

    组别n年龄/岁性别文化程度致病类型
    小学及以下初中至高中大专及以上先天性髋关节发育不良股骨头坏死股骨颈骨折
    研究组5067.3±5.21931191516142115
    对照组5266.4±4.62329231613122416
    下载: 导出CSV

    表  2   2组出院时、出院后1、3个月Harris评分比较(x±s)  

    组别n出院时出院后1个月出院后3个月
    研究组5056.15±17.3678.23±10.25*#87.62±4.93*#
    对照组5255.39±13.2973.48±9.57*81.52±5.21*
    与出院时比较, * P < 0.05; 与对照组比较, #P < 0.05。
    下载: 导出CSV

    表  3   2组出院时、出院后1、3个月VAS评分比较(x±s)  

    组别n出院时出院后1个月出院后3个月
    研究组506.63±1.214.67±0.69*#3.41±0.22*#
    对照组526.54±1.375.06±0.75*3.68±0.35*
    VAS: 视觉模拟评分。与出院时比较, * P < 0.05; 与对照组比较, #P < 0.05。
    下载: 导出CSV

    表  4   2组并发症发生率比较[n(%)]

    组别n感染压疮假体松动或脱位髋臼增生合计
    研究组501(2.0)01(2.0)02(4.0)*
    对照组522(3.8)2(3.8)2(3.8)3(5.8)9(17.3)
    与对照组比较, * P < 0.05。
    下载: 导出CSV

    表  5   2组入院时、出院后3个月SAS评分、SDS评分比较(x±s)  

    组别nSAS评分SDS评分
    入院时出院后3个月入院时出院后3个月
    研究组5052.27±4.6742.42±3.51*#57.47±5.7443.38±4.27*#
    对照组5253.01±4.8546.74±4.28*56.37±6.2346.45±5.74*
    SAS: 焦虑自评量表; SDS: 抑郁自评量表。与入院时比较, * P < 0.05; 与对照组比较, #P < 0.05。
    下载: 导出CSV

    表  6   2组延续性护理满意率比较[n(%)]

    组别n基本满意非常满意不满意总满意
    研究组5021(42.0)29(58.0)050(100.0)*
    对照组5227(51.9)19(36.5)6(11.5)46(88.5)
    与对照组比较, * P < 0.05。
    下载: 导出CSV
  • [1] 陈梅, 吕晓娟, 张麟, 等. 人工智能助力医疗的机遇与挑战[J]. 中国数字医学, 2018, 13(1): 16-18. doi: 10.3969/j.issn.1673-7571.2018.01.004
    [2] 孟晓宇, 王忠民, 景慎旗, 等. 医疗人工智能的发展与挑战[J]. 中国数字医学, 2019, 14(3): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201903007.htm
    [3] 溪应龙, 段于平, 杨毅, 等. 股骨转子下侧后方皮质纵行条状开窗技术在股骨侧假体翻修术中的临床应用[J]. 实用骨科杂志, 2018, 24(7): 638-641. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201807017.htm
    [4] 吴剑宏, 吴晓明, 韩志华, 等. 喙锁韧带重建结合钢板固定治疗伴喙锁韧带锁骨止点撕脱的锁骨远端骨折[J]. 中华骨科杂志, 2020, 40(1): 17-22. doi: 10.3760/cma.j.issn.0253-2352.2020.01.003
    [5] 韩婷婷, 滕妍, 樊秋阳. 眼周脉冲治疗仪对眼底荧光血管造影术后不良反应的作用评价[J]. 中国医学装备, 2017, 14(4): 114-117. doi: 10.3969/J.ISSN.1672-8270.2017.04.030
    [6] 付伟, 李萍, 钟银燕. 延续性护理研究综述[J]. 中国实用护理杂志, 2010, 26(11): 27-30. doi: 10.3760/cma.j.issn.1672-7088.2010.04.041
    [7] 郭春芮, 龙娟, 段自坤, 等. 延续性护理对骨质疏松性椎体压缩骨折患者术后服药依从性的影响[J]. 中华创伤杂志, 2019, 35(1): 44-49. doi: 10.3760/cma.j.issn.1001-8050.2019.01.009
    [8] 李利娟. 家庭模式的延续性护理在老年脑梗死患者中的效果[J]. 中国药物与临床, 2019, 19(12): 2133-2135. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201912094.htm
    [9]

    SYMPLICITY HTN-1 INVESTIGATORS. Catheter-based renal sympathetic denervation for resistant hypertension: durability of blood pressure reduction out to 24 months[J]. Hypertension, 2011, 57(5): 911-917. doi: 10.1161/HYPERTENSIONAHA.110.163014

    [10] 苑娜, 吴雪影, 杨莎. 思维导图在急诊临床护理学教学中的应用效果研究[J]. 中华医学教育杂志, 2018, 38(4): 561-565. doi: 10.3760/cma.j.issn.1673-677X.2018.04.019
    [11] 史一欣, 沈梅芬, 陈珏, 等. 思维导图对腰椎间盘突出症患者术后康复遵医行为的影响[J]. 中国实用护理杂志, 2018, 34(34): 2668-2674. doi: 10.3760/cma.j.issn.1672-7088.2018.34.005
    [12] 田晓. 天猫精灵携手开元酒店开启智联网客房新生态[J]. 计算机与网络, 2018, 44(2): 72. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYW201802069.htm
    [13] 王文慧, 张利峰, 李信欣, 等. 髋关节置换术后患者不同时期关节功能变化及其影响因素研究[J]. 中华护理杂志, 2017, 52(6): 649-653. doi: 10.3761/j.issn.0254-1769.2017.06.002
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出版历程
  • 收稿日期:  2021-02-23
  • 网络出版日期:  2021-07-04
  • 发布日期:  2021-06-27

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