依托智慧医疗的健康教育模式在腰椎退行性疾病手术患者中的应用

Application of health education based on intelligent medical in patients undergoing surgery with lumbar degenerative changes

目的探讨依托智慧医疗的健康教育模式在腰椎退行性疾病手术患者中的应用效果。方法采用便利抽样法选取2019年1月—2020年12月珠海市人民医院脊柱骨病科收治的符合纳入标准的80例腰椎退行性疾病手术患者作为研究对象,按患者入院先后顺序分为对照组和干预组,各40例。对照组采用常规健康教育。干预组借助护士站智能看板、病床电子显示屏和掌上电脑3种智慧医疗工具,充分利用各自的功能模块,构建并实施依托智慧医疗的健康教育模式。采用视觉模拟评分、日本骨科学会评分、腰椎退行性疾病手术患者功能锻炼依从性评价表、患者满意度调查问卷、汉密尔顿焦虑量表、匹兹堡睡眠质量指数量表比较两组患者疼痛情况、腰椎功能状况、功能锻炼依从性、满意度、焦虑情况、睡眠质量,并比较两组患者便秘情况。结果干预组患者术后7 d疼痛评分为(2.57±0.73)分,腰椎功能评分为(15.00±1.89)分,与对照组的(3.10±0.61)、(12.80±1.75)分相比差异有统计学意义(P<0.05)。干预组患者功能锻炼依从性好于对照组,满意度高于对照组,差异均具有统计学意义(P<0.05)。干预组患者术后焦虑情况较对照组轻,睡眠质量及排便情况均好于对照组,差异均有统计学意义(P<0.05)。结论依托智慧医疗的健康教育模式可以减轻腰椎退行性疾病手术患者的疼痛,提高患者功能锻炼依从性和满意度,改善患者的焦虑、睡眠和便秘情况,值得在临床推广应用。

Objective To explore the effect of health education model based on intelligent medical in patients who undergoing surgery with lumbar degenerative changes.Methods A total of 80 patients with lumbar degenerative changes,who met the inclusion criteria,in the Orthopedics Department of Zhuhai People's Hospital from January 2019 to December 2020 were recruited as the research subjects by convenient sampling method.According to the order of admission,they were divided into control group and intervention group,with 40 cases in each group.The control group was given routine health education.A health education model relying on intelligence medical treatment was constructed and implemented in the intervention group,by making full use of their respective functional modules with the help of three intelligent medical tools:intelligent pad in the nurse station,electronic display screen and hand-held electronic devices.The pain,lumbar function,functional exercise compliance,satisfaction,anxiety and sleep quality and constipation of the two groups were compared by Visual Analog Score(VAS),Japanese Orthopaedic Association(JOA)score,functional exercise compliance evaluation form for patients undergoing surgery for lumbar degenerative diseases,patient satisfaction questionnaire,Hamilton Anxiety Scale(HAMA)and Pittsburgh Sleep Quality Index(PSQI).Results The pain score and lumbar function score on the 7th day after surgery in the intervention group were(2.57±0.73)and(15.00±1.89)respectively,and those scores in the control group were(3.10±0.61)and(12.80±1.75)respectively.The differences were statistically significant(P<0.05).The compliance of functional exercise in the intervention group was better than that in the control group,and the satisfaction was higher than that in the control group,with statistical significance(P<0.05).The postoperative anxiety of patients in the intervention group was lighter than that in the control group,and the sleep quality and defecation were better than those in the control group,with statistical significance(P<0.05).Conclusions Health education based on intelligent medical treatment can reduce the pain in patients who undergoing surgery with lumbar degenerative changes,at the same time improve the compliance of exercise and satisfaction,reduce anxiety,sleep disorder and constipation,which is worthy of clinical application.