| Objective: A review of the literature on rehabilitation of fracture extension,and provide a theoretical reference for the construction of software,field research status and characteristics of senile fracture rehabilitation,provide demand for software module construction;design mobile intelligent terminal software based on the interaction of elder fracture rehabilitation training.Methods: Through literature analysis and retrieval research on continuous rehabilitation nursing intervention after fracture in the database,and the year of publication,journal distribution,first author information,research content were analyzed;search APP Store and Google Play market and fracture rehabilitation software,summary list the functional characteristics;through quantitative and qualitative research method of combining the convenience sampling from Affiliated Hospital of Zunyi Medical College 88 postoperative elderly patients with fracture as the research object,the application effect and evaluation tool to assess the status of rehabilitation training;qualitative interviews of elderly patients with fracture and I stakeholders: Department of orthopedics,doctors,nurses,caregivers a total of 25 people,rehabilitation physicians,rehabilitation of patients with senile fracture analysis experience,provide software tasks demand;through the continuation of the fracture of literature review,investigation combined with the needs of elderly fracture rehabilitation training situation,the introduction of IMB(Information-MotivationBehavioral Skills Model)theory,designing mobile intelligent terminal software based on the interaction of elder fracture rehabilitation training.Results: Screening of database literature,there are 18 articles met the inclusion criteria.The analysis found that the number of continuation of fracture rehabilitation literature gradually increased exponentially,2010;study design to control test.There are more interventions in various forms,but by the lack of in-hospital and out-hospital systematic.Accessibility and interactive retrieval application.A total of 18 APP were included from mobile phone market in the analysis,4 of them from Google Play,2 from App Store,12 in the two application market can be searched.5 software updates in the past 6 months,6models of software in recent year update;9 APP can be used for free.5 APP is part of the function of charge to medical institutions as the main operator,the remaining 13 models with the aid of medical institutions to promote.14 APP service object defined in need of rehabilitation group,3 APP dedicated to the department of orthopedics or rehabilitation physicians.In order to provide information for rehabilitation knowledge.The main APP function into,make an appointment as a supplement,not found in elderly patients as rehabilitation intervention group.A total of 88 questionnaires were distributed with 73 valid,and the effective rate was 85.88%.29 cases were male,44 were female,mean age68.07±6.36 years old.Femoral fractures were the most common,accounting for 52.1%.Recovery of physical function status:basic independent patients accounted for only8.2%,the psychological function of the average score was 0.549±0.256,mild anxiety.In the overall level of social support score,average score higher than in-family support and out-family support,out-family support and social support and physical function rehabilitation significant(P<0.05).Comparison shows that the recovery of physical function status of different social demographic characteristics,gender,age,education level and the average monthly income,medical expenses,basic diseases,physical function rehabilitation status were statistically differences persist rehabilitation exercise,guidance,referral and referral frequency mode(P<0.05),no significant difference.The ordered logistic regression analysis showed that the understanding of attention,adhere to the rehabilitation training and have guidance and physical rehabilitation,which understand the matters,adhere to rehabilitation training and having guidance good for physical rehabilitation.Semi structured interviews included elderly patients with fracture,caregiver,medical staff,rehabilitation physicians.A total of 25 people into the fracture patients age interviews were over 60 years old,social demographic characteristics covers a number of levels,more than half of the patients choose rehabilitation at home,that is the preferred location for home rehabilitation the recovery of patients after fracture.9 medical stuff in Department of orthopedics or rehabilitation include doctors,nurses,therapists,8 people more than 5 years of clinical experience,has a high reliability.Through the analysis of encoding and conceptualization of the interview data,showing satisfaction of discharged rehabilitation effect is low,the continuity of fracture rehabilitation services in the initial stage,covering the whole process of rehabilitation rehabilitation needs three main contents,determine the rehabilitation information-enhanced rehabilitation motivation to change behavior is the core requirement of fracture rehabilitation rehabilitation training software,and focus on interactivity in the software design of the dominant position.Conclusion: Outside the hospital fracture rehabilitation nursing intervention system,lack of continuity,accessibility and interactivity,in meet the rehabilitation needs of patients.The rehabilitation APP downloads showing small,slow update on the whole,the lack of expertise,the characteristic is not strong,for the user's health benefits are unknown,no for home rehabilitation of elderly patients with fracture of APP.Elderly patients with fracture rehabilitation training effect is poor,the lack of information and rehabilitation rehabilitation motivation is the main reason for weakening the lack of rehabilitation behavior.Follow the modular design of senile fracture in rehabilitation of APP from the information motivation behavior of three level progressive principle,and emphasize the important role of interactivity.The design for the rehabilitation of elderly patients with fracture of APP,aimed at the information motivation behavioral three aspects to promote the realization of patients with active rehabilitation behavior and provide professional guidance and rehabilitation intervention... |
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