슬관절 치환술을 받은 노인 환자에서 재활 환자 재택의료 시범 사업의 효과

초록

Objective:This study aimed to analyze the effectiveness of a nationwide “Rehabilitation at Home Care Pilot Program” for older people following total knee replacement (TKR). Methods: Data were collected from December 2020 to July 2022 across seven university hospitals, focusing on elderly patients aged 60 and older who underwent TKR. A retrospective analysis was performed on educational counseling records, examining changes in the Berg Balance Scale (BBS) and pain intensity measured by the Numerical Rating Scale (NRS) before and after the intervention. Results: A total of 296 patients were included, with an average age of 72 years. Among the participants, 41 were male (13.9%), and 255 were female (86.1%), indicating a predominance of women in this cohort. The average time from surgery to participation in the home rehabilitation program was 2.36 days. Over a 22-day period, the BBS score improved significantly from 15.95 to 40.49, resulting in a mean change of 24.53 points (p < 0.0001). Pain intensity decreased from 4.19 to 3.35, indicating a reduction of 0.84 points (p < 0.0001). Participants also demonstrated increased weight-bearing capacity and a reduced reliance on walking aids. Conclusion: Rehabilitation at Home Pilot Program significantly enhanced balance and reduced pain levels among older people post-TKR. Further studies incorporating control groups are essential for a more accurate assessment of the program's effectiveness. Standardizing evaluation methods across participating institutions is also recommended. The continuation and potential expansion of this program are expected to further improve patient outcomes in the future.

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