远程医疗技术在全膝关节置换患者术后运动康复中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.04.005

摘要/Abstract

摘要：

目的对远程医疗技术在全膝关节置换患者术后运动康复中应用的现状进行综述，旨在为临床实践和后续研究提供参考。方法系统检索PubMed、Web of Science、Cochrane Library、Embase、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，检索时限为建库至2025年10月30日，对纳入文献进行数据提取和汇总分析。结果纳入21篇文献，远程医疗干预的主要形式包括通讯设备、智能康复训练设备和可穿戴设备3种硬件形式以及应用程序、网站平台和信息服务3种软件形式。远程医疗的干预内容涉及运动监测与提醒、康复训练评估、健康指导、远程诊疗。结局指标包括膝关节功能康复指标、心理指标和自我管理指标3种患者结局指标和技术可用性指标。结论远程医疗技术在全膝关节置换患者术后运动康复中的应用处于探索阶段，对患者关节功能康复具有一定的作用，但运动康复干预内容尚不均衡，干预形式多样。建议医护人员整合多元实践形式、深化干预内容，优化评价指标，以提升患者的康复效果和生活质量。

关键词: 全膝关节置换术, 远程医疗, 康复护理, 范围综述

Abstract:

Objective To conduct a scoping review of telemedicine in exercise rehabilitation for patients following total knee arthroplasty，and to summarize the forms of telemedicine，intervention components，and outcome measures，in order to provide evidence for clinical practice and future research. Methods A systematic search was conducted in PubMed，Web of Science，Cochrane Library，Embase，Scopus，CNKI，Wanfang，VIP and SinoMed from inception to 30 October 2025. Data were extracted from the included studies and synthesised narratively. Results A total of 21 studies were included. Telemedicine interventions involved 3 main hardware modalities，including communication devices，intelligent rehabilitation training devices，and wearable devices，as well as 3 software modalities，including mobile applications，web-based platforms，and information service systems. Intervention components included exercise monitoring and reminders，rehabilitation training assessment，health education，and remote consultation. Outcome measures comprised knee function rehabilitation indicators，psychological indicators，self-management indicators，and technology-related outcomes. Conclusion Telemedicine for patients after total knee arthroplasty remains in an exploratory stage. It has demonstrated potential benefits in promoting functional recovery，although the intervention content for exercise rehabilitation varies and the delivery formats are diverse. It is recommended that healthcare providers integrate multiple intervention approaches，enrich the content of rehabilitation programmes，and optimize outcome assessments to improve rehabilitation effectiveness and quality of life.

Key words: Total Knee Arthroplasty, Telemedicine, Rehabilitation Nursing, Scoping Review

陈丹露, 陈茹, 单亚维, 施春香, 沈中鸣. 远程医疗技术在全膝关节置换患者术后运动康复中应用的范围综述[J]. 中华护理杂志, 2026, 61(4): 467-474.

CHEN Danlu, CHEN Ru, SHAN Yawei, SHI Chunxiang, SHEN Zhongming. Telemedicine in exercise rehabilitation for patients after total knee arthroplasty：a scoping review[J]. Chinese Journal of Nursing, 2026, 61(4): 467-474.

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