目的：探究云赋能下家庭决策辅助在先天性胫骨假关节联合手术患儿加速康复过程中的应用成效。方法：将2022年1月至2022年12月入院的32例患儿设为对照组,给予基于加速康复理念的健康指导;将2023年1月至2023年12月入院的32例作为观察组,在对照组的基础上采用“云赋能下家庭决策辅助”方案。比较两组患儿的术后恢复情况、功能锻炼依从性、健康知识掌握度、家庭参与治疗决策的态度与程度以及满意度情况。结果：两组入院当天运动恐惧水平无明显差异,功能锻炼依从性得分术后1周观察组运动恐惧水平（35.63±3.15分）低于对照组（41.91±2.92分）,首次排便时间（1.1±0.12天）较对照组（3.5±0.89天）缩短,针道感染发生率（3.1%）低于对照组（12.5%）;术后第1周观察组（59.09±3.31分）高于对照组（55.75±2.72分）,术后第1个月观察组（64.59±3.11分）亦高于对照组（57.59±3.34分）（P<0.05）;观察组健康理论知识得分（90.32±6.3分）与操作技能得分（92.12±3.23分）均高于对照组（P<0.05）;观察组患儿家庭参与治疗决策态度与参与治疗决策程度得分均低于对照组,表明参与治疗决策态度与程度更高;两组患儿在家庭决策参与满意度的信息维度上无差异,观察组决策参与满意度评分总分较对照组有提升。结论：云赋能下家庭决策辅助应用于先天性胫骨假关节联合手术患儿加速康复中,能有效改善术后恢复情况,提高功能锻炼依从性、健康教育知识掌握度,提升家庭参与治疗决策程度与满意度,有效促进早日康复。

Objective To investigate the application efficacy of Cloud-Empowered Family Decision-making Support in the Accelerated Rehabilitation Course of Children with Congenital Pseudarthrosis of the Tibia Undergoing Combined Surgical Procedures. Methods A total of 32 children admitted from January 2022 to December 2022 were assigned to the control group, receiving health guidance based on the concept of enhanced recovery after surgery (ERAS) . Another 32 children admitted from January 2023 to December 2023 were set as the observation group, adopting the "cloud-enabled family decision-making assistance" program on the basis of the control group's intervention. The postoperative recovery, compliance with functional exercise, mastery of health knowledge, attitude and degree of family participation in treatment decision-making, as well as satisfaction, were compared between the two groups. Results There was no significant difference in exercise fear levels between the two groups on the admission day. One week after surgery, the exercise fear level in the observation group (35.63±3.15) was lower than that in the control group (41.91±2.92) . The first defecation time in the observation group (1.1±0.12 days) was shorter than that in the control group (3.5±0.89 days) , and the incidence of pin tract infection (3.1%) was lower than that in the control group (12.5%) . The compliance scores of functional exercise in the observation group were higher than those in the control group at the first week (59.09±3.31 vs. 55.75±2.72) and the first month (64.59±3.11 vs. 57.59±3.34) after surgery. Both the scores of health theoretical knowledge (90.32±6.3) and operational skills (92.12±3.23) in the observation group were higher than those in the control group. The scores of family attitude and degree of participation in treatment decision-making in the observation group were lower than those in the control group, indicating a higher actual participation in treatment decision-making. There was no significant difference in the information dimension of family decision-making participation satisfaction between the two groups, but the total score of decision-making participation satisfaction in the observation group was significantly higher than that in the control group. Conclusion The application of Cloud-Empowered Family Decision-making Assistance in the accelerated rehabilitation of children with congenital tibial pseudarthrosis undergoing combined surgeries can achieve a shorter gastrointestinal recovery time and a lower level of fear of movement, improve the mastery of health knowledge, strengthen the compliance of functional exercises, enhance the attitude, degree and satisfaction of family participation in treatment decision-making, and promote an earlier recovery.