{"title":"The application of continuous care model in rehabilitation management for total hip arthroplasty patients","authors":"Liqun Dai, Ruiyan Tong, Jingjing Cai, Chenxin Deng, Yanqin Chen","doi":"10.1016/j.ijotn.2025.101205","DOIUrl":null,"url":null,"abstract":"<div><div>With the development of rapid rehabilitation surgery, the hospitalization time for patients undergoing total hip replacement has been shortened, resulting in a reduction in their direct medical care. Postoperatively, they need long-term rehabilitation exercises to restore joint function, which poses additional challenges for health professionals.</div></div><div><h3>Objective</h3><div>This study aims to construct a rehabilitation management plan for the entire nursing path of hip replacement patients using the continuous care model, solve the problem of interrupted rehabilitation, and thereby improve the rehabilitation effect of patients.</div></div><div><h3>Method</h3><div>40 patients from September 2023 to February 2024 were selected as the control group and received routine care. From March to August 2024, 40 patients were selected as the experimental group and received the intervention plan. The differences in rehabilitation exercise compliance, rehabilitation self-efficacy, pain condition, postoperative complications, and patient satisfaction between the two groups were compared.</div></div><div><h3>Result</h3><div>The compliance rate of rehabilitation exercises and self-efficacy in rehabilitation were significantly higher in the experimental group than in the control group. The joint stiffness, joint dislocation, deep vein thrombosis, and pain scores of the experimental group were lower than those of the control group (P < 0.05), while there was no significant difference in joint infection.</div></div><div><h3>Conclusion</h3><div>By implementing the rehabilitation management plan based on the continuous care model, it can promote the rehabilitation exercise effect of patients, alleviate their pain, reduce postoperative complications, and improve patient satisfaction.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101205"},"PeriodicalIF":2.1000,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124125000504","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
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Abstract
With the development of rapid rehabilitation surgery, the hospitalization time for patients undergoing total hip replacement has been shortened, resulting in a reduction in their direct medical care. Postoperatively, they need long-term rehabilitation exercises to restore joint function, which poses additional challenges for health professionals.
Objective
This study aims to construct a rehabilitation management plan for the entire nursing path of hip replacement patients using the continuous care model, solve the problem of interrupted rehabilitation, and thereby improve the rehabilitation effect of patients.
Method
40 patients from September 2023 to February 2024 were selected as the control group and received routine care. From March to August 2024, 40 patients were selected as the experimental group and received the intervention plan. The differences in rehabilitation exercise compliance, rehabilitation self-efficacy, pain condition, postoperative complications, and patient satisfaction between the two groups were compared.
Result
The compliance rate of rehabilitation exercises and self-efficacy in rehabilitation were significantly higher in the experimental group than in the control group. The joint stiffness, joint dislocation, deep vein thrombosis, and pain scores of the experimental group were lower than those of the control group (P < 0.05), while there was no significant difference in joint infection.
Conclusion
By implementing the rehabilitation management plan based on the continuous care model, it can promote the rehabilitation exercise effect of patients, alleviate their pain, reduce postoperative complications, and improve patient satisfaction.