The effectiveness of extended care based on Internet and home care platform for orthopaedics after hip replacement surgery in China

Wang, Jie; Ya-hui, Tong; Jiang, Yingqing; Zhu, He; Gao, Hui; Wei, Rong; Que, Xianfeng; Luo-luo, Gao

doi:10.1111/jocn.14545

Cited by 35 publications

(49 citation statements)

References 20 publications

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“…Eventually, 17 articles23–39 from 14 studies with in total 2494 participants were included. An overview of extracted data of the included studies can be found in online supplementary material 4.…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen of the included articles from 12 studies described randomised controlled trials,23 24 26–33 35–39 while two articles described controlled before-after studies 25 34. Most studies were conducted in high-income countries (ie, Western Europe, USA or Australia) and two studies in China38 39 studying samples of patients undergoing surgeries to their back (ie, laminectomy, lumbar discectomy, disc surgery and spinal stenosis),23 24 26 28–31 34 39 upper limbs (ie, anterior shoulder dislocation repair),25 37 hips (ie, total hip arthroplasty)33 36 38 and knees (ie, ACL reconstruction and knee arthroplasty) 27 32 35. Patient samples consisted of combinations of men and women, and the average age of the study samples ranged from 29 to 70 years, with an average (SD) of 51 (14) years.…”

Section: Resultsmentioning

confidence: 99%

“…Active referral to a case manager was assessed by three studies 31 33 37. Six studies reported the effects of a combined intervention with two components, that is, active referral to a case manager and goal setting (in four studies),23–26 28–30 goal setting and e/mHealth (one study),32 and active referral and e/mHealth (one study) 38. The intervention length ranged from 14 days35 to 36 months34.…”

Section: Resultsmentioning

confidence: 99%

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Integrated care programmes for sport and work participation, performance of physical activities and quality of life among orthopaedic surgery patients: a systematic review with meta-analysis

Coenen

Hulsegge

Daams

et al. 2020

BMJ Open Sport Exerc Med

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ObjectivesOrthopaedic surgery is primarily aimed at improving function and pain reduction. Additional integrated care may enhance patient’s participation in sports and work, possibly improving performance of physical activities and quality of life (QoL). We aimed to assess the effectiveness of integrated care among orthopaedic surgery patients.DesignSystematic review with meta-analysis.Data sourceMedline, EMBASE and CINAHL (until 17 June 2019).Eligibility for selecting studiesWe searched for controlled studies on integrated care interventions consisting of active referral to case managers, rehabilitation with participation-based goals and/or e/mHealth, with outcomes of sports and work participation, performance of physical activities and/or QoL. Outcomes were normalised to 0–100 scales and statistically pooled.ResultsSeventeen articles (n=2494) of moderate quality were included reporting on patients receiving back, upper limb, knee or hip surgery. Only one study reported on return to sports and found no significant benefit. For return to work, one study did (90% vs 82%) and one did not (relative risk=1.18 (0.80 to 1.70)) observe significant benefits. Integrated care showed small effects for improving performance of physical activities (2.69 (–0.20 to 5.58); eight studies, n=1267) and QoL (2.62 (1.16 to 5.05); nine studies, n=1158) compared with usual care.Summary/ConclusionWe found insufficient and inconsistent evidence for the effectiveness of integrated care for orthopaedic surgery patients regarding sport and work participation. Small effects were found for performance of physical activities and QoL. High quality research on integrated care focusing on sports and work participation is needed before integrated care can be implemented for orthopaedic surgery patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Integrated care programmes for sport and work participation, performance of physical activities and quality of life among orthopaedic surgery patients: a systematic review with meta-analysis

Coenen

Hulsegge

Daams

et al. 2020

BMJ Open Sport Exerc Med

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“…However, the effects of WeChat health education on outcomes first increased and then decreased. Several limited studies intended to improve the self‐management of patients and deliver health education via a social networking platform have shown the long‐term effectiveness (Wang et al, ). Thus, studies on maintaining the long‐term effects of health education programmes in haemodialysis patients are suggested for future research.…”

Section: Discussionmentioning

confidence: 99%

“…Several limited studies intended to improve the self-management of patients and deliver health education via a social networking platform have shown the long-term effectiveness (Wang et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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Aim To examine the effects of a transtheoretical model‐based WeChat health education programme on self‐management in haemodialysis patients in China. Design A longitudinal experimental intervention study. Methods Patients (N = 120) who underwent haemodialysis from December 2015–November 2017 were recruited and randomly allocated to either group 1 (who received a 3‐month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self‐management, knowledge and self‐efficacy were assessed at baseline (T0), 3 months after enrolment in the study (T1), 21 months after enrolment in the study (T2). Results There were significant group effects on self‐efficacy; time effects on partnership, self‐care, emotion management with total self‐management; interaction effects on problem‐solving and emotion management within total self‐management according to the two‐way repeated measures ANCOVA. Further between‐group comparisons indicated that patients in group 1 had better self‐management than those in group 2 at T1. Within‐group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self‐management at T1; however, group 2 had improved self‐management at T2. Conclusion The transtheoretical model‐based WeChat health education programme had a potentially positive effect on improving the self‐management of haemodialysis patients. Impact Self‐management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model‐based WeChat health education resulted in improved self‐management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self‐management in patients. Trial registration: ChiCTR1800018172.

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Telerehabilitation versus conventional face-to-face land-based exercises following hip or knee arthroplasty

Alexandre

Ramalho

Civile

et al. 2021

Cochrane Database of Systematic Reviews

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The effectiveness of extended care based on Internet and home care platform for orthopaedics after hip replacement surgery in China

Cited by 35 publications

References 20 publications

Integrated care programmes for sport and work participation, performance of physical activities and quality of life among orthopaedic surgery patients: a systematic review with meta-analysis

Integrated care programmes for sport and work participation, performance of physical activities and quality of life among orthopaedic surgery patients: a systematic review with meta-analysis

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Telerehabilitation versus conventional face-to-face land-based exercises following hip or knee arthroplasty

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