Effect of mind mapping combined with artificial intelligence speaker on continuous care after total hip arthroplasty
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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.
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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 男 女 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 50 67.3±5.2 19 31 19 15 16 14 21 15 对照组 52 66.4±4.6 23 29 23 16 13 12 24 16 
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表 2 2组出院时、出院后1、3个月Harris评分比较(x±s)
分 组别 n 出院时 出院后1个月 出院后3个月 研究组 50 56.15±17.36 78.23±10.25*# 87.62±4.93*# 对照组 52 55.39±13.29 73.48±9.57* 81.52±5.21* 与出院时比较, * P < 0.05; 与对照组比较, #P < 0.05。
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表 3 2组出院时、出院后1、3个月VAS评分比较(x±s)
分 组别 n 出院时 出院后1个月 出院后3个月 研究组 50 6.63±1.21 4.67±0.69*# 3.41±0.22*# 对照组 52 6.54±1.37 5.06±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。
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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 50 1(2.0) 0 1(2.0) 0 2(4.0)* 对照组 52 2(3.8) 2(3.8) 2(3.8) 3(5.8) 9(17.3) 与对照组比较, * P < 0.05。
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表 5 2组入院时、出院后3个月SAS评分、SDS评分比较(x±s)
分 组别 n SAS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 50 52.27±4.67 42.42±3.51*# 57.47±5.74 43.38±4.27*# 对照组 52 53.01±4.85 46.74±4.28* 56.37±6.23 46.45±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。
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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 50 21(42.0) 29(58.0) 0 50(100.0)* 对照组 52 27(51.9) 19(36.5) 6(11.5) 46(88.5) 与对照组比较, * P < 0.05。
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