行動健康技術與多媒體策略對下肢骨折病人之術後復健照護成效

Effectiveness of Mobile Health Technology and Multimedia Strategies in Postoperative Rehabilitation Care for Patients with Lower Limb Fractures

下肢骨折術後，病人因生理不適與活動受限常延長臥床，影響復健進度並增加併發症風險。主要因素包括病人動機不足、護理師認知不足、缺乏有效監督與支援、衛教資訊可讀性差及缺乏復健指導規範。本研究透過多媒體策略，結合mHealth技術，利用Line平台提供即時復健資訊，並由跨專業團隊製作復健影片。為提高護理師專業認知，設計復健闖關卡促進病人自我管理，並建立標準化護理流程，確保復健指導品質與一致性。結果顯示，病人下肢骨折復健完整率由51.6%提升至91.1%，成功達成研究目標。多媒體影片與即時資訊提升病人參與度及自我管理能力，標準化流程確保護理品質。調查顯示，95%病人對該模式表示滿意，具推廣潛力，並可應用於其他護理領域，提升術後復健成效。

Following lower limb fracture surgery, patients often experience prolonged bed rest due to physical discomfort and restricted mobility, which hampers rehabilitation progress and heightens the risk of complications. Contributing factors include low patient motivation, insufficient nursing awareness, inadequate supervision and support, poor readability of educational materials, and the absence of standardized rehabilitation guidance. This study employed multimedia strategies integrated with mobile health (mHealth) technology, utilizing the LINE platform to deliver real-time rehabilitation information. A multidisciplinary team produced instructional videos, while interventions such as a rehabilitation challenge card were designed to foster patient self-management and enhance nurses’professional awareness. A standardized care protocol was also established to ensure consistency and quality in rehabilitation guidance. The results showed that the rehabilitation completion rate in patients with lower limb fractures increased from 51.6% to 91.1%, meeting the study goal. Multimedia tools and real-time updates increased patient engagement and autonomy, while standardized protocols ensured consistent care. With a 95% satisfaction rate, the model shows strong potential for wider adoption to enhance postoperative rehabilitation outcomes.