Intelligent assistive devices that integrate artificial intelligence, robotics and other technologies provide new opportunities to improve the efficiency and professionalism of home-based rehabilitation. This paper outlines the classification and technical principles of intelligent assistive devices, analyzes their application bottlenecks in home scenarios from three dimensions of technical reliability, user compliance and social support, and on this basis, proposes a comprehensive optimization path of improving environmental adaptability through technical iteration, building a precise adaptation service system relying on rehabilitation nurses, and improving the security network with the help of policy coordination, aiming to promote the intelligent and sustainable development of stroke home-based rehabilitation.
Currenty, China still faces problems such as an aging population, the younger onset of chronic diseases, and insufficient primary medical care and preventive services in some regions. The profession of health management professionals is on the rise in China, but there are few domestic studies on how to define the connotation and boundaries of health management professionals, the current development status of the industry, and its existing deficiencies. This article aims to review the current development status and existing problems of health management professionals in China and put forward suggestions for their future development.
Objective To systematically search for evidence related to the prevention and management of kinesiophobia in patients undergoing total knee arthroplasty at home and abroad, evaluate and integrate the evidence, and to provide reference for clinical nursing practice. Methods Domestic and international evidence-based resource databases, including UpToDate, BMJ (British Medical Journal) Best Practice, National Institute for Health and Clinical Excellence guidelines network, JBI (Joanna Briggs Institute) evidence-based healthcare center database, Cochrane Library, Registered Nurses’ Association of Ontario website, China guidelines network, Web of Science, PubMed, SinoMed, China National Knowledge Infrastructure, and Wanfang were searched. Evidence related to the prevention and management of kinesiophobia after total knee arthroplasty was collected, and the search period was until June 30, 2023. The evidence extraction and integration were conducted on the literature that meets the requirements. Results A total of 10 papers were ultimately included, including 1 guideline, 1 expert consensus, 2 systematic evaluations, 4 randomized controlled studies, and 2 cohort studies. A total of 17 pieces of evidence were extracted from 5 aspects, including risk assessment, health education, intraoperative pain management, rehabilitation exercise, and patient participation. Conclusion The prevention and management of kinesiphobia after total knee arthroplasty include evidence from multiple aspects, which can provide evidence-based basis for orthopedic and rehabilitation medical staff to develop intervention plans for kinesiphobia and promote rapid recovery of patients with total knee arthroplasty.
