"互联网+"延续性护理对重度骨质疏松患者服药依从性的影响

Effect of"Internet+"continuous care on medication compliance of patients with severe osteoporosis

目的:探讨基于"互联网+"延续性护理对重度骨质疏松患者服药依从性的影响。方法:采用回顾性对照研究分析2017年10月至2019年10月浙江省平湖市中医院收治重度骨质疏松患者的临床资料,共纳入重度骨质疏松患者120例,采用双盲随机分组方法,分为延续护理组和常规护理组各60例。延续护理组给予"互联网+"延续性护理,常规护理组给予常规健康教育。比较2组患者治疗后1、3、6、12个月服药依从性、骨密度值。结果:延续护理组患者出院后1、3、6、12个月服药依从性评分分别为(6.92±0.93)、(6.72±1.04)、(6.28±1.26)、(6.27±1.21)分,常规护理组分别为(6.27±1.27)、(5.55±1.24)、(5.28±1.59)、(4.60±1.71)分,延续护理组依从性明显好于常规护理组,2组各时间点对比均有统计学意义(t值为3.197~6.172,P<0.01)。服药后1、3、6、12个月延续护理组患者的骨密度值分别为-2.97±0.10、-2.92±0.11、-2.88±0.11、-2.87±0.13,常规护理组分别为-2.99±1.08、-3.01±0.11、-3.02±0.11、-3.02±0.11,延续护理组骨密度明显好于常规护理组,2组患者治疗后1个月差异无统计学意义(t值为1.289,P>0.05),2组患者治疗后3、6、12个月差异具有统计学意义(t值为4.215、5.992、6.726,P<0.01)。结论:基于"互联网+"延续性护理可以大大提高骨质疏松患者服药依从性,有效提高患者骨密度值,减少脆性骨折发生,降低患者再入院率,提高患者生命质量。

Objective To explore the effect of"Internet+"continuous nursing on medication compliance of patients with severe osteoporosis.Methods A retrospective comparative study was conducted to analyze the clinical data of patients with severe osteoporosis hospitalized in Pinghu Hospital of Traditional Chinese Medicine from October 2017 to October 2019.A total of 120 patients with osteoporosis were included and divided into the continuous care group and routine care group using double-blind randomization method.The continuous care group was given"Internet+"continuous care,and the routine care group was given routine health education upon discharge.The compliance and Bone mineral density were compared at 1,3,6 and 12 months after discharge.Results Based on"Internet+"continue nursing group of patients discharged from hospital after 1,3,6,12 months medication adherence scores respectively(6.92±0.93),(6.72±1.04),(6.28±1.26)and(6.27±1.21)points,routine nursing group,respectively(6.27±1.27),(5.55±1.24),(5.28±1.59)and(4.60±1.71)points,continuity of care compliance significantly better in routine nursing group,contrast at each time point in the 2 groups were statistically significant(t values were 3.197-6.172,P<0.01).After 1,3,6 and 12 months of treatment,the bone mineral density of patients in the continuous care group was-2.97±0.10,-2.92±0.11,-2.88±0.11,-2.87±0.13,and that in the conventional care group was 2.99±1.08,3.01±0.11,3.02±0.11,3.02±0.11.Bone mineral density in the continuous care group was significantly better than that in the conventional care group.There was no statistically significant difference between the two groups 1 month after treatment(t value was 1.289,P>0.05),and there was a statistically significant difference between the two groups 3,6 and 12 months after treatment(t values were 4.215,5.992,6.726,P<0.01).Conclusion Continuous nursing based on"Internet+"can greatly improve the medication compliance of osteoporosis patients,effectively improve the bone mineral density of patients,reduce the incidence of brittle fracture,reduce the readmission rate of patients,and improve the quality of life of patients.