On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status in patient uploaded videos. Motivational measures are taken for patients with high cooperation to promote goal achievement. Patients with negative and fatigue attitudes seek professional psychological counseling and provide successful rehabilitation cases to enhance patient confidence. Patients who have doubts during the rehabilitation period outside the hospital can apply the "online information sending mode, online consultation+offline service" in the program. Nurses can help patients register and authenticate, teach them how to use "Zhe Li Nursing Home Service" and place orders online. Orthopedic specialist nurses or rehabilitation therapists can contact the supervising doctor to communicate the patient's needs and provide relevant nursing and rehabilitation technical services on-site. The management backend has functions such as full process traceability of service behavior, workload analysis, and nurse service evaluation. It regularly updates disease-related knowledge within the program, perioperative health education, postoperative functional exercise and intervention measures, and regular functional exercise time reminders. Multi terminal collaboration implements information system integration, establishes a complete electronic health record, and forms a closed-loop management mode throughout the process.
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Added applications for closed-loop management of the entire disease course
BehavioralTeach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management.
Report on the measurement of knee flexion range of motion (ROM) values for patients treated with knee arthroscopy
Use a medical protractor to measure, instruct the patient to lie flat and actively/passively flex to the maximum angle of the knee joint, align the medical protractor with the lateral femoral condyle of the knee joint, align the fixed arm with the longitudinal axis of the femur, and move the measuring arm with the longitudinal axis of the tibia. Record the measurement angle, active range of motion AROM, and passive range of motion PROM
Evaluate daily functional status using Lysholm score after knee arthroscopy treatment
The Lysholm score is used for evaluation, which consists of 8 questions with scores ranging from 0 to 100. The higher the score, the better the patient's functional status and their tendency towards daily life activities.
Evaluate the high and low levels of relevant participants based on the rehabilitation function exercise compliance scale
The compliance of rehabilitation functional exercise was assessed using the Orthopedic Patient Functional Exercise Compliance Scale developed by Tan Yuanyuan et al. The total score of this scale is 75 points, with ≤ 20 points indicating low compliance, 21-54 points indicating partial compliance, and ≥ 55 points indicating high compliance. The Cronbach's alpha coefficient of the scale is 0.930, and the content validity index is 0.936, which can be used to evaluate the compliance of orthopedic patients with rehabilitation functional exercise.
Evaluate the quality of life level of relevant participants based on the quality of life questionnaire scale
This study adopts its Chinese version, which includes 5 functional domains, 1 overall quality of life domain, and 9 symptom domains. A higher score in the first two areas indicates a better quality of life, while a higher score in the last area indicates a poorer quality of life. This scale is widely used and has good reliability and validity.
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