Construction and Application of the Whole Course Management Scheme for Knee Arthroscopic Ligament Surgery Patients Based on "Internet +"

The Fourth Affiliated Hospital of Zhejiang University School of Medicine

Status: Not yet enrolling

Conditions: Patients Undergoing Knee Arthroscopic Ligament Surgery

Treatments: Behavioral: Added applications for closed-loop management of the entire disease course

Study type: Interventional

Funder types: Other

Identifiers

NCT07362849

KY-2025-154

Details and patient eligibility

About

On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status in patient uploaded videos. Motivational measures are taken for patients with high cooperation to promote goal achievement. Patients with negative and fatigue attitudes seek professional psychological counseling and provide successful rehabilitation cases to enhance patient confidence. Patients who have doubts during the rehabilitation period outside the hospital can apply the "online information sending mode, online consultation+offline service" in the program. Nurses can help patients register and authenticate, teach them how to use "Zhe Li Nursing Home Service" and place orders online. Orthopedic specialist nurses or rehabilitation therapists can contact the supervising doctor to communicate the patient's needs and provide relevant nursing and rehabilitation technical services on-site. The management backend has functions such as full process traceability of service behavior, workload analysis, and nurse service evaluation. It regularly updates disease-related knowledge within the program, perioperative health education, postoperative functional exercise and intervention measures, and regular functional exercise time reminders. Multi terminal collaboration implements information system integration, establishes a complete electronic health record, and forms a closed-loop management mode throughout the process.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Orthopedic knee arthroscopic ligament surgery patients; Age range: 18-60 years old; Informed consent from participants in this study; Internet is available at home, and patients and their families can skillfully use mobile WeChat and other functions.

Exclusion criteria

Those who give up halfway or have difficulty cooperating to complete the exercise; I am currently participating in other clinical trials that may have an impact on this study; Having a clear history of mental illness and epilepsy in the past; Postoperative complications such as fractures and rheumatoid arthritis (such as thrombosis or osteomyelitis) are present; Lower extremity deep vein thrombosis;

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

60 participants in 2 patient groups

The control group patients were treated and managed using conventional diagnosis and treatment metho

Experimental group

Description:

On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status i

Treatment:

Behavioral: Added applications for closed-loop management of the entire disease course

Control Group

No Intervention group

Description:

The control group patients were treated and managed using conventional diagnosis and treatment methods, followed up by telephone calls and follow-up questionnaire surveys for intervention. Routine discharge guidance includes medication guidance, exercise guidance, dietary guidance, and psychological guidance. It guides patients on the precautions, intervention measures, and follow-up time for self-management at home after discharge. Patients are followed up once a month by phone or in person, and questionnaire data is collected during follow-up visits.