fa تاثیر اپلیکیشن خود مراقبتی بر میزان درد و بازتوانی حرکتی بیماران پس از جراحی آرتروپلاستی کامل زانو ارتوپدی،تروماتولوژی Orthopedic & Traumatology پژوهشي-کامل Research(Original) <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&nbsp;</span></span></b></span></span></span><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar="">امروزه </span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar="">با توجه به </span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar="">توسعه دانش پزشکی از راه دور با افزایش تمرکز بر مراقبت از بیمار، از فناوری گوشی<span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span>های همراه هوشمند برای ارتباط بیماران با گروه<span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span>‌های مراقبت بهداشتی درمانی استفاده می‌شود. هدف مطالعه حاضر تعیین تأثیر اپلیکیشن خودمراقبتی بر میزان درد و بازتوانی حرکتی بیماران پس از جراحی آرتروپلاستی کامل زانو بود.</span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar="">در<b> </b></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar="">این مطالعه کار آزمایی بالینی تصادفی شاهد دار، جامعه پژوهش شامل 100نفر از بیماران کاندید عمل جراحی آرتروپلاستی زانو بستری در بخش ارتوپدی بیمارستان بقیه‌الله (عج)تهران بود</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%">.</span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""> اپلیکیشن خودمراقبتی طراحی <span style="letter-spacing:-.1pt">شده، در اختیار گروه مداخله قرار گرفت و گروه شاهد مراقبت‌های روتین بیمارستانی را دریافت کردند. در روزهای 7 و14</span> بعد از عمل دو گروه از نظر بازتوانی حرکتی و درد توسط پرسشنامه وومک (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%">WOMAC</span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar="">) و ون کورف (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%">Von Korff</span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar="">) مورد ارزیابی قرار گرفتند.<span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar="">در <span style="letter-spacing:-.1pt">جمع‌بندی یافته‌های دموگرافیک از 100 نفر،30 مرد و70 زن با میانگین سنی 15/62</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:85%"><span style="letter-spacing:-.1pt">&plusmn;</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">48/66 سال بودند. در مقایسه نمره ارزیابی درد پرسشنامه ون کورف و وومک بیماران</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">، </span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">14 روز بعد از عمل جراحی براساس آزمون </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="letter-spacing:-.1pt">t</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> تست مستقل در سطح اطمینان 95 درصد مشخص شد که در بازتوانی حرکتی (0/004=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="letter-spacing:-.1pt">P</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">) و درد (</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">0/001=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="letter-spacing:-.1pt">P</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">) تفاوت معناداری وجود دارد.</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar="">براساس یافته<span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span>های این مطالعه، افرادی که از اپلیکیشن خودمراقبتی استفاده کردند از نظر بازتوانی حرکتی عملکرد بهتر و درد کم<span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span>تری نیز داشتند.<span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span dir="LTR" style="font-size:1.0pt"><span style="line-height:85%"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span b="" style="font-family:" zar="">شماره ثبت کارآزمایی بالینی : 1</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:85%">N</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span b="" style="font-family:" zar="">20210724051973</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:85%">IRCT</span></span><b><i><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span style="font-family:"2 Davat""></span></span></span></i></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:18.0pt"><span style="background:yellow"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-0.1pt"><b><span style="font-size:8.0pt"><span style="line-height:115%"><span style="letter-spacing:0pt">&nbsp;</span></span></span></b></span></span></span><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">Today, development of telemedicine technology has led to wide use of smartphone to connect patients and health care teams to improve patient care. The aim of this study was to determine the effect of a self-care application on pain and mobility rehabilitation in patients following total knee arthroplasty surgery.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:130%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">A randomized controlled clinical trial was carried out in 100 patients who were candidates for knee arthroplasty surgery at Tehran Baqiyatullah (Aj) Hospital. In this study, the experimental group was provided with a self-care application and the control group received routine hospital care. At days 7 and 14 after the surgery, the two groups were evaluated for pain and mobility rehabilitation using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Von Korff Pain Intensity and Disability Score.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span arial="" style="font-family:">Results:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">Out of 100 people, 30 were men and 70 were women with an average age of 48.66&plusmn;15.62. Findings showed significant differences between the two groups, at day 14 after the surgery, in mobility rehabilitation (P= 0.004) and pain (P= 0.001) at 95% confidence interval.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span arial="" style="font-family:">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">According to this study, the self-care application improved pain and motor recovery after total knee arthroplasty surgery. </span></span><i><span style="font-size:10.0pt"><span style="line-height:130%"></span></span></i></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:7.0pt"><span style="letter-spacing:-.1pt"></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">(Clinical Trials Registry Number: </span></span><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">IRCT20210724051973N1</span></span><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">)</span></span><b><i><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt"></span></span></i></b></span></span><br> &nbsp; آرتروپلاستی, خود مراقبتی, پزشکی از راه دور, گوشی هوشمند arthroplasty, self-care, telemedicine, smartphone 91 100 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-14266-6&slc_lang=fa&sid=1 Reza Salehinia رضا صالحی نیا rezaotg@gmail.com 1003194753284600154120 1003194753284600154120 No MSc in Surgical Technology, Student Research Committee, Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran کارشناس ارشد فناوری جراحی، کمیته تحقیقات دانشجویی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Hooshang Akbari هوشنگ اکبری hooshangakbari@yahoo.com 1003194753284600154121 1003194753284600154121 Yes Assistant Professor, Department of Anesthesiology, Operating Room, Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran استادیار گروه بیهوشی و اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Ebrahim Nasiri Formi ابراهیم نصیری فرمی rezanf2002@yahoo.com 1003194753284600154122 1003194753284600154122 No Assistant Professor, Department of Anesthesiology and Operating Room, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه بیهوشی و اتاق عمل، مرکز تحقیقات طب سنتی و مکمل، موسسه ترک اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران Sadra Haji صدرا حاجی doctorhaji@yahoo.com 1003194753284600154123 1003194753284600154123 No Assistant Professor, Department of Orthopedics, Baqiyatallah University of Medical Sciences, Tehran, Iran استادیار، گروه ارتوپدی، دانشگاه علوم پزشکی بقیه الله، تهران، ایران Masoud Gharib مسعود غریب Gharib_masoud@yahoo.com 1003194753284600154124 1003194753284600154124 No Assistant Professor, Department of Rehabilitation, Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran استادیار گروه توانبخشی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Hamed Mehdizadeh حامد مهدی زاده hamed13sep@gmail.com 1003194753284600154125 1003194753284600154125 No Assistant Professor, Department of Health Information Technology, Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه فناوری اطلاعات سلامت، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران