关键词: 人工全膝关节置换术, 个体化, 电话随访, 术后康复, 身心健康

Abstract: ［Abstract］ Objective To explore the effect of individualized telephone follow?up on postoperative rehabilitation and physical and mental health in total knee arthroplasty（TKA）patients. Methods 156 patients received TKA were assigned to the control group and the observation group（n=78）. Patients in the control group received subsequent visit in the outpatient clinic at 1 and 3 months after discharge. Patients in the observation group received individualized telephone follow?up besides subsequent visit in the outpatient clinic. Patients′ Western Ontario & McMaster Universities osteoarthritis index（WOMAC） scores, the MOS item short from health survey（SF?36）scores, general self?efficacy scale（GSES）scores and times of unscheduled visits were recorded at 1 and 3 months after discharge. Results WOMAC scores were significantly lower in the observation group than that in the control group at 1 and 3 months after discharge（P<0.05）. SF?36 and GSES scores in the observation group were significantly higher than that in the control group（P<0.05）. Unscheduled visits in the observation group were significantly less than that in the control group（P<0.05）. Conclusion Individualized telephone follow?up could improve postoperative rehabilitation and physical and mental health in TKA patients, decrease their unscheduled visits, which is worth popularizing clinically.

Key words: telephone follow?up, postoperative rehabilitation, individualized, total knee arthroplasty, physical and mental health