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Effects of a nurse-led, mobile-based rehabilitation programme on functional recovery and adherence for patients after
Zhiyi Chen1, Zizhen Gui2, Na Li2
1Department of Nursing and Department of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China; School of Nursing, Sun Yat-sen University, Guangzhou, China.
Objective:
This study aimed to evaluate the effects of a nurse-led, mobile-based rehabilitation programme on functional recovery and adherence for patients after total hip arthroplasty.
Methods:
This was a single-center, two-arm, quasi-experimental trial. Patients undergoing primary total hip arthroplasty were enrolled between March and December 2023. The control group received usual care, while the intervention group participated in a 3-month nurse-led, mobile-based rehabilitation programme initiated from admission. The primary outcome was hip function (Harris Hip Score); secondary outcomes included functional balance (Berg Balance Scale), activities of daily living (Barthel Index), and rehabilitation adherence. Assessments occurred pre-discharge and at 1, 3, and 6 months postoperatively.
Results:
A total of 107 patients were recruited, with 53 assigned to the control group and 54 to the intervention group. Prior to discharge, the intervention group demonstrated a significantly shorter length of hospital stay compared to the control group. At the 1-, 3-, and 6-month follow-ups, the intervention group showed statistically significant improvements in Harris Hip Score and Barthel Index (P < 0.05). Notably, between-group differences in functional balance reached statistical significance at 3 months post-surgery (P < 0.05). Adherence to rehabilitation was significantly higher in the intervention group compared to controls (P < 0.001).
Conclusion:
The nurse-led, mobile-based rehabilitation programme demonstrated favourable effects on patients' functional recovery and adherence. This approach offers an effective transitional care strategy for orthopaedic nurses to support patients after discharge.
