基于微信的延续护理对腰椎间盘突出症患者术后功能锻炼依从性和生活质量的影响

Effect of We Chat-based Continuous Nursing on Postoperative Functional Exercise Compliance and Quality of Life in Patients with Lumbar Intervertebral Disc Herniation

目的:探讨基于微信的延续护理措施对腰椎间盘突出症患者术后功能锻炼依从性和生活质量的影响。方法:选取2016年2月-2017年2月在本院骨科行手术治疗的腰椎间盘突出症患者84例作为研究对象,按照随机数字表法将其分为对照组和观察组,各42例。对照组出院后给予常规电话随访,观察组在对照组的基础上给予基于微信的延续护理措施,比较两组功能锻炼依从情况、出院时及术后3个月的日本骨科协会评估治疗分数(JOA)和Oswstry功能障碍指数评分量表(ODI)评分及护理效果。结果:观察组术后功能锻炼总依从率为92.9%明显高于对照组的52.4%,差异有统计学意义(χ~2=17.303,P<0.001)。出院时两组JOA和ODI评分比较,差异均无统计学意义(P>0.05);术后3个月,两组JOA和ODI评分与出院时比较均明显改善,且观察组JOA评分明显高于对照组,ODI评分明显低于对照组,差异均有统计学意义(P<0.05)。术后3个月随访结束时,观察组护理总有效率为100%明显高于对照组的76.2%,差异有统计学意义(χ~2=6.222,P=0.013)。结论:基于微信的延续护理措施能有效提高患者术后功能锻炼依从性,并能提高患者生活质量,值得在临床上进一步推广。

Objective:To investigate the effect of WeChat-based continuous nursing on postoperative functional exercise compliance and quality of life in patients with lumbar intervertebral disc herniation.Method:A total of 84 patients with lumbar intervertebral disc herniation who undergone surgical treatment in the orthopaedic department of our hospital from February 2016 to February 2017 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,42 cases in each group.The control group was given routine telephone follow-up after discharge,the observation group was given WeChat-based continuous nursing on the basis of the control group.The compliance of functional exercise,Japanese Orthopaedic Association(JOA)and Oswstry disability index(ODI)scores at discharge and after operation 3 months and nursing effect between the two group were compared.Result:The total compliance rate of functional exercise in the observation group was 92.9%,which was significantly higher than 52.4%in the control group,the difference was statistically significant(χ^2=17.303,P<0.001).There were no significant differences in the JOA and ODI scores at discharge between the two groups(P>0.05).After operation 3 months,the JOA and ODI scores of two groups were significantly improved compared with those at discharge,and JOA score of the observation group was significantly higher than that of the control group,ODI score was significantly lower than that of the control group,the differences were statistically significant(P<0.05).At the end of follow-up 3 months,the total effective rate of nursing in the observation group was 100%,which was significantly higher than 76.2%in the control group,the difference was statistically significant(χ^2=6.222,P=0.013).Conclusion:WeChat-based continuous nursing can effectively improve the compliance of functional exercise after operation and improve quality of life of patients,which is worthy of further promotion in clinical practice.