Abstract: Objective To explore the feasibility of establishing an accurate family rehabilitation platform after total knee arthroplasty （TKA） in the empty- nest elderly group based on the “Internet united medical treatment combination” pattern, and to investigate the platform’s recovery-promoting efficacy and medical benefits. Methods The empty-nest elders who performed the first unilateral TKA in our hospital were recruited. According to the differences of follow-up mode after discharge from the hospital, they were divided into two groups： 29 cases in the experimental group, accepting the rehabilitation guidance from the home rehabilitation platform based on Internet communication and regional medical network and the outpatient service of our hospital; 24 cases in the control group and they accept routine outpatient follow-up for rehabilitation advice. The knee function score （HSS）,and the daily life quality score （SF-36） of the two group were evaluated before and 6 months after the operations, and the satisfaction scores（EUROPE scale） of them were counted 6 months after the operations, too. Results No statistically significant differences was found in HSS and SF-36 between the two groups before the operation., but the experimental group enjoyed superior HSS score, SF-36 score and satisfaction score than the control group at 6 months after operation（87.74±3.44 vs. 84.24±3.52; 735.06±11.68 vs. 725.88±9.80; 99.58±4.06 vs. 95.68±3.66; P<0.05）. Conclusion Relying on the “Internet united medical treatment combination” pattern, it is practical and feasible to construct a TKA postoperative family accurate rehabilitation platform in the empty-nest elderly group. The platform is effective in improving the postoperative knee function and the quality of life for them, and is conducive to doctor-patient communication.

Key words: medical consortium, family precise rehabilitation, total kneearthroplasty, empty-nest elder, internet platform

摘要： 目的 探讨以互联网+医联体模式为依托、在空巢老人群体中建立全膝关节置换（TKA）术后家庭精准康复平台的可行性,并考察该平台的促康复效能和医疗效益。方法 以在我院行首次单侧TKA的空巢老人为研究对象。根据出院后随诊方式的差异分为两组：实验组29例,借助以互联网通讯和医联体网络为基础的家庭康复平台进行康复指导,配合我院门诊随诊;对照组24例,予常规我院门诊随诊,门诊医生遵指南行康复锻炼指导。比较两组患者术前、术后6个月膝关节功能评分（HSS）、日常生活质量评分（SF-36）和术后6个月患者满意度。结果 两组患者术前HSS、SF-36组间比较差异均无统计学意义,实验组患者术后6月HSS评分、SF-36评分、患者满意度均优于对照组,数据差异均有统计学意义（87.74±3.44 vs. 84.24±3.52; 735.06±11.68 vs. 725.88±9.80; 99.58±4.06 vs. 95.68±3.66;P<0.05）。结论 依托互联网+医联体模式在空巢老人群体中构建TKA术后家庭精准康复平台切实可行,可有效改善该群体术后膝关节功能和生活质量,并有利于医患沟通。

关键词: 互联网平台, 全膝关节置换术, 医联体, 家庭精准康复, 空巢老人