基于短视频的远程宣教对骨关节退行性关节炎患者疼痛症状和康复依从性的影响

Effects of remote education based on short video on pain symptoms and rehabilitation compliance in patients with degenerative osteoarthritis

目的探讨基于短视频的远程宣教对骨关节退行性关节炎患者疼痛症状和康复依从性的影响。方法选取2018年3月—2020年6月在北京积水潭医院骨科进行治疗的骨关节退行性关节炎患者132例为研究对象,按入院先后顺序分为对照组和观察组,每组各66例。对照组采用常规健康宣教,观察组实施基于短视频的远程宣教。比较两组患者干预后疼痛症状、康复依从性的差异。结果干预后观察组患者运动时[(2.4±1.0)vs.(3.5±1.1)分]及压痛点[(2.7±1.0)vs.(3.9±1.2)分]疼痛得分均低于对照组;患者用药[(5.2±1.0)vs.(4.5±1.2)分]、饮食[(2.2±0.6)vs.(1.6±0.8)分]及运动[(2.4±0.6)vs.(1.7±0.5)分]依从性得分高于对照组患者;以上差异均具有统计学意义(P<0.05)。结论基于短视频的远程宣教应用于骨关节退行性关节炎患者中,能降低患者疼痛程度,提高康复依从性。

Objective To explore effects of remote education based on short video on pain symptoms and rehabilitation compliance in patients with degenerative osteoarthritis.Methods A total of 132 patients with degenerative osteoarthritis who were treated in Department of Orthopedics of Beijing Jishuitan Hospital were selected as the research objects from March 2018 to June 2020. According to the order of admission, theywere divided into the control group and the observation group, with 66 cases in each group. The control groupreceived routine health education, while the observation group received short video-based remote education.The differences of pain symptoms and rehabilitation compliance were compared between the two groups afterintervention. Results After intervention,the pain scores of the observation group during exercise [(2.4±1.0) vs.(3.5±1.1)]and tenderness point [(2.7±1.0) vs. (3.9±1.2)]were lower than those of the control group. Thescores of medication [(5.2±1.0) vs. (4.5±1.2)], diet [(2.2±0.6) vs. (1.6±0.8)]and exercise [(2.4±0.6) vs.(1.7±0.5)]compliance were higher than those of control group. The above differences were statisticallysignificant (P < 0.05). Conclusions Application of remote education based on short video in patients withdegenerative osteoarthritis can reduce pain symptoms and improve rehabilitation compliance.