Application of augmented reality in the whole health management of hip replacement patients_West China Medical Journal

Authors：

LIAO Xia ¹ ,  CHEN Jiali ¹ ,  NING Ning ¹ , ZHOU Zongke ² , QU Junhong ¹ , WANG Liqun ¹ , LI Peifang ¹ , ZHANG Lin ¹ , SHI Xiaojun ²

1. Department of Orthopedic Surgery, West China Hospital , Sichuan University / West China School of Nursing, Sichuan University / Nursing Key Laboratory of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CHEN Jiali, Email: cjl85614115@163.com; NING Ning, Email: gkningning@126.com

Keywords：

Hip replacement; whole process management; augmented reality

DOI：

10.7507/1002-0179.202309193

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To integrate augmented reality (AR) into the whole process of health management and observe its application effect in hip replacement patients. Methods Patients undergoing hip replacement in the Department of Orthopedic Surgery of West China Hospital, Sichuan University between April and September 2022 were selected. According to the random number table method, patients were divided into a trial group and a control group. The trial group adopted the whole process AR health management mode, and the control group adopted the conventional health education mode. The joint function score, functional exercise compliance, coping difficulties after discharge, Huaxi Emotional-distress Index and satisfaction of the two groups at different time points were compared. Results A total of 80 patients were included, with 40 patients in each group. At each follow-up time point after surgery, the scores of Harris Hip Score and Post-Discharge Coping Difficulty Scale among trial group patients were better than those of the control group patients (P<0.05). There was no statistically significant difference in the Huaxi Emotional-distress Index scores between the two groups (P>0.05). The compliance rate of functional exercise in the trial group (P=0.025) and the patient satisfaction were higher than those in the control group (Z=−4.918, P<0.05). Conclusions The AR-based whole process health management can make it easier for patients to grasp functional exercise (preoperative pre-exercise, postoperative rehabilitation), post-hospital health guidance and other educational knowledge. This new health management is conducive to enhancing patients’ exercise compliance, strengthening joint function recovery, daily living ability and patient satisfaction.It can be promoted and applied in clinical practice.

Citation： LIAO Xia, CHEN Jiali, NING Ning, ZHOU Zongke, QU Junhong, WANG Liqun, LI Peifang, ZHANG Lin, SHI Xiaojun. Application of augmented reality in the whole health management of hip replacement patients. West China Medical Journal, 2024, 39(10): 1579-1584. doi: 10.7507/1002-0179.202309193 Copy

1.	周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复——围术期管理策略专家共识. 中国骨与关节外科, 2016, 9(1): 1-9.
2.	Soffin EM , YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth, 2016, 117(suppl 3): iii62-iii72.
3.	陈佳丽, 宁宁, 屈俊宏, 等. 骨科加速康复外科新视角. 华西医学, 2018, 33(9): 1068-1072.
4.	徐学玲, 殷文会. 基于快速康复理念下的针对性护理对老年髋关节置换术患者手术应激术后恢复及近期并发症的影响. 山西医药杂志, 2022, 51(3): 341-344.
5.	翁习生, 梁锦前, 林进, 等. 人工关节外科非计划二次手术的分析及对策. 骨科临床与研究杂志, 2017, 2(4): 211-214.
6.	王林夏, 彭棉棉, 金熙熙, 等. 高龄骨科患者围手术期 MDT 全程管理模式探讨. 中华全科医学, 2022, 20(2): 282-285.
7.	陆斐, 金爱东, 任英, 等. 全髋关节置换患者 48 小时全程护理模式的研究. 中华护理杂志, 2022, 57(10): 1157-1164.
8.	Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: enhanced recovery after surgery (ERAS^®) society recommendations. Acta Orthop, 2020, 91(1): 3-19.
9.	周宗科, 廖刃, 唐佩福, 等. 中国骨科手术加速康复围手术期疼痛管理指南. 中华骨与关节外科杂志, 2019, 12(12): 929-938.
10.	Sallow AB, Younis M. Augmented reality: a review. Academic J Nawroz University, 2019, 8(3): 76.
11.	Nee AYC, Ong SK, Chryssolouris G, et al. Augmented reality applications in design and manufacturing. CIRP Annals, 2012, 61(2): 657-679.
12.	Negrillo-Cárdenas J, Jiménez-Pérez JR, Feito FR. The role of virtual and augmented reality in orthopedic trauma surgery: from diagnosis to rehabilitation. Comput Methods Programs Biomed, 2020, 191: 105407.
13.	Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am, 1969, 51(4): 737-755.
14.	阙纤沣. 综合性干预对全髋关节置换术患者功能锻炼依从性的影响. 护理学杂志, 2010, 25(6): 70-71.
15.	Fitzgerald Miller J, Piacentine LB, Weiss M. Coping difficulties after hospitalization. Clin Nurs Res, 2008, 17(4): 278-296.
16.	Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
17.	杨宏女, 朱桂琴, 徐莹. 院外延续管理在癌性疼痛患者中的应用. 齐鲁护理杂志, 2019, 25(20): 66-68.
18.	段昱宇, 张加尧, 叶哲伟. 增强现实技术在骨科的应用现状及前景. 临床外科杂志, 2020, 28(4): 301-303.
19.	邓欣, 宁宁, 陈佳丽, 等. 加速康复外科术后结局评价指标研究进展. 华西医学, 2017, 32(9): 1362-1365.
20.	侯晓玲, 谢小伟, 涂晓晴, 等. 加速康复下全膝关节置换术后急性疼痛多因素分析及对策. 四川医学, 2018, 39(4): 379-382.
21.	张红英, 宁宁, 陈佳丽, 等. 全髋/膝关节置换术老年患者共病情况调查及其特征分析. 华西医学, 2020, 35(10): 1195-1200.

1. 周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复——围术期管理策略专家共识. 中国骨与关节外科, 2016, 9(1): 1-9.
2. Soffin EM , YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth, 2016, 117(suppl 3): iii62-iii72.
3. 陈佳丽, 宁宁, 屈俊宏, 等. 骨科加速康复外科新视角. 华西医学, 2018, 33(9): 1068-1072.
4. 徐学玲, 殷文会. 基于快速康复理念下的针对性护理对老年髋关节置换术患者手术应激术后恢复及近期并发症的影响. 山西医药杂志, 2022, 51(3): 341-344.
5. 翁习生, 梁锦前, 林进, 等. 人工关节外科非计划二次手术的分析及对策. 骨科临床与研究杂志, 2017, 2(4): 211-214.
6. 王林夏, 彭棉棉, 金熙熙, 等. 高龄骨科患者围手术期 MDT 全程管理模式探讨. 中华全科医学, 2022, 20(2): 282-285.
7. 陆斐, 金爱东, 任英, 等. 全髋关节置换患者 48 小时全程护理模式的研究. 中华护理杂志, 2022, 57(10): 1157-1164.
8. Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: enhanced recovery after surgery (ERAS^®) society recommendations. Acta Orthop, 2020, 91(1): 3-19.
9. 周宗科, 廖刃, 唐佩福, 等. 中国骨科手术加速康复围手术期疼痛管理指南. 中华骨与关节外科杂志, 2019, 12(12): 929-938.
10. Sallow AB, Younis M. Augmented reality: a review. Academic J Nawroz University, 2019, 8(3): 76.
11. Nee AYC, Ong SK, Chryssolouris G, et al. Augmented reality applications in design and manufacturing. CIRP Annals, 2012, 61(2): 657-679.
12. Negrillo-Cárdenas J, Jiménez-Pérez JR, Feito FR. The role of virtual and augmented reality in orthopedic trauma surgery: from diagnosis to rehabilitation. Comput Methods Programs Biomed, 2020, 191: 105407.
13. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am, 1969, 51(4): 737-755.
14. 阙纤沣. 综合性干预对全髋关节置换术患者功能锻炼依从性的影响. 护理学杂志, 2010, 25(6): 70-71.
15. Fitzgerald Miller J, Piacentine LB, Weiss M. Coping difficulties after hospitalization. Clin Nurs Res, 2008, 17(4): 278-296.
16. Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
17. 杨宏女, 朱桂琴, 徐莹. 院外延续管理在癌性疼痛患者中的应用. 齐鲁护理杂志, 2019, 25(20): 66-68.
18. 段昱宇, 张加尧, 叶哲伟. 增强现实技术在骨科的应用现状及前景. 临床外科杂志, 2020, 28(4): 301-303.
19. 邓欣, 宁宁, 陈佳丽, 等. 加速康复外科术后结局评价指标研究进展. 华西医学, 2017, 32(9): 1362-1365.
20. 侯晓玲, 谢小伟, 涂晓晴, 等. 加速康复下全膝关节置换术后急性疼痛多因素分析及对策. 四川医学, 2018, 39(4): 379-382.
21. 张红英, 宁宁, 陈佳丽, 等. 全髋/膝关节置换术老年患者共病情况调查及其特征分析. 华西医学, 2020, 35(10): 1195-1200.

West China Medical Journal

Application of augmented reality in the whole health management of hip replacement patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content