微信健教模式对胸腰椎骨折保守治疗患者护理干预效果的影响

Effect of WeChat Health Education Model on Nursing Intervention of Patients with Thoracolumbar Fracture Treated with Conservative Therapy

目的:探讨微信健康教育模式对胸腰椎骨折保守治疗患者护理干预的效果。方法:随机数字表法选取2017年6月-2018年5月接受胸腰椎骨折保守治疗的患者60例,分为对照组和试验组,各30例,对照组采用常规护理,试验组采用常规护理加微信干预方法,比较两组患者在干预前、第3周、第6周的Oswestry功能障碍指数(ODI)评分、疼痛评分(NRS)及自我效能评分,比较两组患者干预前后的生活自理能力评分及生活质量量表评分。结果:干预与时间因素均对两组患者Oswestry功能障碍指数(ODI)评分、疼痛评分(NRS)及自我效能评分影响有统计学意义(P<0.05),两组患者Oswestry功能障碍指数(ODI)评分、疼痛评分(NRS)及自我效能评分均存在时间与干预的交互效应(P<0.05)。干预后两组患者的生活自理能力评分比较,差异有统计学意义(P<0.05),干预后两组患者的生活质量量表评分比较,差异无统计学意义(P>0.05)。结论:微信的健康教育模式降低患者的ODI评分和疼痛NRS评分,提高患者的自我效能和生活自理能力,提高胸腰椎骨折保守治疗患者护理干预效果。

Objective: To explore the effect of health education mode of WeChat on rehabilitation nursing of patients with thoracolumbar fracture. Method:60 patients with thoracolumbar fractures received conservative treatment from June 2017 to May 2018 were randomly divided into control group(n=30)and experimental group(n=30).In the control group,routine nursing was used,and the WeChat intervention method was added to the routine nursing in the experimental group.The scores of Oswestry dysfunction index(ODI),pain score(NRS)and self-efficacy before and after intervention were compared between the two groups.The scores of self-care ability and quality of life were compared before and after intervention.Result:The intervention and time factors had significant effect on Oswestry dysfunction index(ODI),pain score(NRS)and self-efficacy score(P<0.05).The Oswestry dysfunction index(ODI)score,pain score(NRS)and self-efficacy scale of the two groups had time and intervention interaction effect(P<0.05).The scores of life self-care ability of patients in the two groups after intervention were compared,the difference were statistically significant(P<0.05).The scores of quality of life scale between the two groups after intervention,there were no statistically significant difference(P>0.05).Conclusion:The health education mode of WeChat can reduce the ODI score and NRS score of pain,and improve the self-efficacy and self-care ability of the patients,improve the nursing intervention effect of conservative treatment of thoracolumbar fractures.