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：

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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, 翁習生, 曲鐵兵, 等. 中國髖、膝關節置換術加速康復——圍術期管理策略專家共識. 中國骨與關節外科, 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.	陳佳麗, 寧寧, 屈俊宏, 等. 骨科加速康復外科新視角. 華西醫學, 2018, 33(9): 1068-1072.
4.	徐學玲, 殷文會. 基于快速康復理念下的針對性護理對老年髖關節置換術患者手術應激術后恢復及近期并發癥的影響. 山西醫藥雜志, 2022, 51(3): 341-344.
5.	翁習生, 梁錦前, 林進, 等. 人工關節外科非計劃二次手術的分析及對策. 骨科臨床與研究雜志, 2017, 2(4): 211-214.
6.	王林夏, 彭棉棉, 金熙熙, 等. 高齡骨科患者圍手術期 MDT 全程管理模式探討. 中華全科醫學, 2022, 20(2): 282-285.
7.	陸斐, 金愛東, 任英, 等. 全髖關節置換患者 48 小時全程護理模式的研究. 中華護理雜志, 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. 中國骨科手術加速康復圍手術期疼痛管理指南. 中華骨與關節外科雜志, 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.	闕纖灃. 綜合性干預對全髖關節置換術患者功能鍛煉依從性的影響. 護理學雜志, 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.	楊宏女, 朱桂琴, 徐瑩. 院外延續管理在癌性疼痛患者中的應用. 齊魯護理雜志, 2019, 25(20): 66-68.
18.	段昱宇, 張加堯, 葉哲偉. 增強現實技術在骨科的應用現狀及前景. 臨床外科雜志, 2020, 28(4): 301-303.
19.	鄧欣, 寧寧, 陳佳麗, 等. 加速康復外科術后結局評價指標研究進展. 華西醫學, 2017, 32(9): 1362-1365.
20.	侯曉玲, 謝小偉, 涂曉晴, 等. 加速康復下全膝關節置換術后急性疼痛多因素分析及對策. 四川醫學, 2018, 39(4): 379-382.
21.	張紅英, 寧寧, 陳佳麗, 等. 全髖/膝關節置換術老年患者共病情況調查及其特征分析. 華西醫學, 2020, 35(10): 1195-1200.

1. 周宗科, 翁習生, 曲鐵兵, 等. 中國髖、膝關節置換術加速康復——圍術期管理策略專家共識. 中國骨與關節外科, 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. 陳佳麗, 寧寧, 屈俊宏, 等. 骨科加速康復外科新視角. 華西醫學, 2018, 33(9): 1068-1072.
4. 徐學玲, 殷文會. 基于快速康復理念下的針對性護理對老年髖關節置換術患者手術應激術后恢復及近期并發癥的影響. 山西醫藥雜志, 2022, 51(3): 341-344.
5. 翁習生, 梁錦前, 林進, 等. 人工關節外科非計劃二次手術的分析及對策. 骨科臨床與研究雜志, 2017, 2(4): 211-214.
6. 王林夏, 彭棉棉, 金熙熙, 等. 高齡骨科患者圍手術期 MDT 全程管理模式探討. 中華全科醫學, 2022, 20(2): 282-285.
7. 陸斐, 金愛東, 任英, 等. 全髖關節置換患者 48 小時全程護理模式的研究. 中華護理雜志, 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. 中國骨科手術加速康復圍手術期疼痛管理指南. 中華骨與關節外科雜志, 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. 闕纖灃. 綜合性干預對全髖關節置換術患者功能鍛煉依從性的影響. 護理學雜志, 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. 楊宏女, 朱桂琴, 徐瑩. 院外延續管理在癌性疼痛患者中的應用. 齊魯護理雜志, 2019, 25(20): 66-68.
18. 段昱宇, 張加堯, 葉哲偉. 增強現實技術在骨科的應用現狀及前景. 臨床外科雜志, 2020, 28(4): 301-303.
19. 鄧欣, 寧寧, 陳佳麗, 等. 加速康復外科術后結局評價指標研究進展. 華西醫學, 2017, 32(9): 1362-1365.
20. 侯曉玲, 謝小偉, 涂曉晴, 等. 加速康復下全膝關節置換術后急性疼痛多因素分析及對策. 四川醫學, 2018, 39(4): 379-382.
21. 張紅英, 寧寧, 陳佳麗, 等. 全髖/膝關節置換術老年患者共病情況調查及其特征分析. 華西醫學, 2020, 35(10): 1195-1200.

West China Medical Journal

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

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