10.3389/fpsyg.2012.00132

Vollständiger Abstract

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<h4>Objective</h4>To explore the application effect of Home-based extended care based on cloud follow-up in the postoperative rehabilitation of lower limb arteriosclerosis obliterans and provide a reference for postoperative rehabilitation of lower limb arteriosclerosis obliterans.<h4>Methods</h4>This study employed a prospective cohort study design. 110 patients with lower extremity arteriosclerosis obliterans who underwent interventional treatment were selected and divided into a control group (<i>n</i> = 52) and an experimental group (<i>n</i> = 58) based on different postoperative management methods. After discharge, the control group received routine management, and the experimental group received Home-based extended care based on cloud follow-up. The differences in recurrence, lower extremity arterial perfusion status, treatment adherence, motor function, and quality of life between the two groups were compared.<h4>Results</h4>Regarding vascular outcomes, the restenosis rate at 12 months post-discharge was 18.97% in the experimental group, which was significantly lower than the 36.54% observed in the control group (<i>p</i> < 0.05). Six months after discharge, the adherence of the experimental group with medication, diet control, rehabilitation exercise and regular review was higher than that of the control group (<i>p</i> < 0.05). After adjusting for baseline values using analysis of covariance (ANCOVA), the experimental group demonstrated significantly superior brachial-ankle index, Fugl-Meyer Assessment scores, 6MWD, and all VascuQol domains compared with the control group at 12 months post-discharge (<i>p</i> < 0.05).<h4>Conclusion</h4>Home-based extended care based on cloud follow-up for the rehabilitation of patients with lower extremity arteriosclerosis obliterans can overcome the temporal and spatial constraints of out-of-hospital care. By enhancing the practicality, specificity, and professionalism of rehabilitation guidance, this approach is associated with superior recovery outcomes, including reduced postoperative restenosis, improved lower limb arterial perfusion, and enhanced treatment adherence, motor function, and quality of life.

Abstract: PubMed · Datensatz