Abstract: Background　Home-based functional rehabilitation is of great significance to patients after hip arthroplasty for improving the prognosis.At present in China，most follow-ups for providing rehabilitation interventions for hip arthroplasty patients are conducted by telephone despite poor effects，and few studies about video follow-up have been carried out.Objective　To explore the effect of WeChat video follow-up on functional recovery，anxiety，compliance behavior and quality of life in patients after hip arthroplasty.Methods　196 patients received first hip arthroplasty in Department of Orthopedics，First Affiliated Hospital of Anhui Medical University from March 2014 to May 2016 were enrolled and divided into control group（102 cases） and experimental group（94 cases） in accordance with the random number table.Both groups received the conventional discharge guidance and telephone follow-ups，the experimental group additionally received WeChat video follow-ups，including the online assessment of hip function recovery status，online face-to-face rehabilitation instruction and demonstration education.Hip function was measured by Harris Hip Score，anxiety status was evaluated by Zung Self-Rating Anxiety Scale（SAS），compliance behavior was assessed by Questionnaire of Compliance with Doctors' Advice，and quality of life was assessed by 36-Item Short Form Health Survey（SF-36） on the day of discharge，and at 1，2 weeks，1，3，6 months after discharge，respectively.Results　Compared with the control group，the experimental group demonstrated much higher Harris Hip score and compliance behavior score at different time periods after discharge，and obviously higher SF-36 total score at 2 weeks，1，3，6 months after discharge，but substantially lower SAS score at 2 weeks，1，3，6 months after discharge（P<0.05）．Conclusion　Interventions given via WeChat video follow-up can improve the quality of life of patients after hip arthroplasty by alleviating the postoperative anxiety，improving the compliance behavior and functional recovery.

Key words: Arthroplasty, replacement, hip；Rehabilitation；Video follow-up；Anxiety；Quality of life

摘要： 背景　人工髋关节置换术后患者居家功能康复对改善预后非常重要，国内现有的康复干预措施大多为电话随访，干预效果差，而有关视频随访的研究较少。目的　探讨微信视频随访干预对髋关节置换术后患者髋关节功能、焦虑情绪、遵医行为、生活质量的影响。方法　选取2014年3月—2016年5月于安徽医科大学第一附属医院骨科首次接受髋关节置换术的患者196例为研究对象。采用计算机随机数字表法，将患者分为对照组（102例）和干预组（94例）。对照组给予常规出院指导和电话随访；干预组在常规随访基础上，采用微信视频进行随访，评估关节功能康复情况，并进行一对一的康复指导和示范宣教。在患者出院时，以及出院1周、2周、1个月、3个月、6个月时，分别采用Harris量表、Zung焦虑自评量表（SAS）、遵医行为量表、健康调查简表（SF-36）评价患者髋关节功能、焦虑情绪、遵医行为和生活质量。结果　干预组出院1周、2周、1个月、3个月、6个月时Harris量表、遵医行为量表评分高于对照组，出院2周、1个月、3个月、6个月时SAS评分低于对照组，出院2周、1个月、3个月、6个月时SF-36评分高于对照组（P<0.05）。结论　微信视频随访可有效减轻人工髋关节置换术患者焦虑情绪，提高遵医行为和髋关节功能康复效果，从而提升患者生活质量。

关键词: 关节成形术, 置换, 髋；康复；视频随访；焦虑；生活质量