关键词: 四肢骨折；居家护理；延续护理；远程康复训练

Abstract: Objective: To analyze the application effect of specialist nurse-led remote online rehabilitation training on home-based care for children with limb fractures, in order to inform the rehabilitation of pediatric patients with limb fractures. Methods: A total of 156 children with limb fractures and their primary caregivers admitted between June 2023 and June 2024 in a tertiary grade A hospital in Wuhan were enrolled by convenient sampling and randomly assigned to an intervention group (78 cases) or a control group (78 cases) using a random number table method. The control group received routine discharge nursing guidance and follow-up, while the intervention group additionally received a specialist nurse-led remote online rehabilitation training program. Outcomes compared between the two groups included home-based functional exercise adherence, the incidence of complications, fracture healing time, and caregiver satisfaction. Results: After the intervention, the temporal trends of home-based functional exercise adherence were different between two groups (P<0.001), and the adherence scores in the intervention group were consistently higher than those in the control group at 3,6, and 9 weeks after surgery (P<0.001). The incidence of complications in the intervention group was 5.1%, which was significantly lower than the 25.6% in the control group (P<0.001). Fracture healing time was significantly shorter in the intervention group than in the control group (P<0.001). Moreover, caregiver satisfaction was significantly higher in the intervention group (P<0.001). Conclusion: Specialist nurse-led remote online rehabilitation training can improve functional exercise adherence, reduce complications incidence, shorten fracture healing time, and enhance caregiver satisfaction in children with limb fractures, supporting its clinical application.

Key words: limb fracture; home care; transitional care; remote rehabilitation training