多媒体健康教育应用于经皮穿刺腰椎间盘髓核摘除术患者的效果评价

Evaluation of the effect of multimedia health education in patients undergoing percutaneous lumbar discectomy

目的探讨多媒体健康教育对经皮穿刺腰椎间盘髓核摘除术(PLD)患者术后康复认知水平及早期康复训练依从性的影响。方法选择2017年7月—2018年6月江苏省南通市中医院收治的PLD患者106例,采用随机数字表法分为观察组和对照组,每组各53例。对照组给予常规健康教育,观察组给予多媒体健康教育。随访6个月,比较两组患者术后康复认知水平、早期康复训练依从性、腰椎功能。结果随访6个月,两组患者术后康复知识知晓率均明显高于同组教育前,且观察组康复知识知晓率明显高于对照组,差异有统计学意义(P<0.05)。观察组早期康复训练依从率明显高于对照组(P<0.05)。随访6个月,两组患者视觉模拟评分(VAS),Oswestry功能障碍指数(ODI)明显低于同组教育前,日本骨科协会(JOA)评分明显高于同组教育前,且观察组VAS、ODI明显低于对照组,JOA评分明显高于对照组(P<0.05)。结论多媒体健康教育有助于提高PLD患者早期康复训练认知水平,促进术后早期康复训练依从行为的养成,改善患者腰椎功能。

Objective To explore the effect of multimedia health education on the postoperative rehabilitation cognition level and early rehabilitation training compliance of patients with percutaneous lumbar discectomy(PLD).Methods A total of 106 PLD patients admitted to Nantong Hospital of Traditional Chinese Medicine of Jiangsu Province from July 2017 to June 2018 were selected and divided into observation group and control group by random number table method,with 53 cases in each group.The control group was given regular health education,while the observation group was given multimedia health education.Follow-up for six months,the postoperative rehabilitation cognition level,early rehabilitation training compliance and lumbar function were compared between the two groups.Results After six months of follow-up,the awareness rate of postoperative rehabilitation knowledge of the two groups were significantly higher than those before education in the same group,while the awareness rate of rehabilitation knowledge of the observation group was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).The early rehabilitation training compliance rate of the observation group was significantly higher than that of the control group(P<0.05).After six months of follow-up,the visual analogue scale(VAS)and Oswestry disability index(ODI)of the two groups were significantly lower than those before education in the same group,Japanese orthopaedic association(JOA)score was significantly higher than that before education in the same group,while the VAS and ODI of the observation group were significantly lower than those of the control group,the JOA score was significantly higher than that of the control group(P<0.05).Conclusion Multimedia health education helps to improve the cognitive level of early rehabilitation training for PLD patients,promotes the development of compliance behaviors for early rehabilitation training postoperative,and improve the patient’s lumbar function.