基于移动居家护理平台的干预对胸腰椎骨质疏松性椎体压缩骨折患者的影响

Effect of intervention based on mobile home care platform on patients with osteoporotic thoracolumbar vertebral compression fractures

目的探讨基于移动居家护理平台的干预对胸腰椎骨质疏松性椎体压缩骨折(OVCF)患者自我效能和生活质量的影响。方法选取2019年6月至2020年5月于南京医科大学附属淮安第一医院治疗的94例胸腰椎OVCF患者,按随机数字表法分入对照组和观察组,各47例。对照组患者接受常规干预,观察组患者在常规护理的基础上接受移动居家护理平台干预。比较2组患者的自我效能、生活质量和日常生活能力。结果干预后,2组的食钙自我效能和锻炼自我效能均显著高于同组干预前(P均<0.05),且观察组均显著高于对照组(P均<0.05)。干预后,2组的生活质量综合评定量表(GQOLI-74)各维度评分均显著高于同组干预前(P均<0.05),且观察组均显著高于对照组(P均<0.05)。出院12周和24周,2组的巴塞尔指数(BI)评分均显著高于同组出院时(P均<0.05),且观察组均显著高于同期对照组(P均<0.05);出院24周,2组的BI评分均显著高于同组出院12周(P均<0.05)。结论胸腰椎OVCF患者通过移动居家护理平台接受干预,可明显提高其自我效能、生活质量和日常生活能力。

Objective To investigate the effect of intervention based on mobile home care platform on the self-efficacy and quality of life of patients with osteoporotic vertebral compression fractures(OVCFs)of the thoracolumbar spine.Methods A total of 94 patients with thoracolumbar OVCFs who were treated at the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from June2019 to May 2020 were selected.They were divided into a control group and an observation group according to the random number table method,with 47 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received mobile home care platform intervention on the basis of routine intervention.The self-efficacy,quality of life and ability in the activities of daily living were compared between the two groups.Results After the intervention,the self-efficacy of calcium intake and self-efficacy of exercise in the two groups were significantly higher than those before the intervention(all P<0.05),and the self-efficacy in the observation group was significantly higher than that in the control group(both P<0.05).After the intervention,the scores of various dimensions of the generic quality of life inventory-74(GQOLI-74)in the two groups were significantly higher than those before the intervention(all P<0.05),and the scores of the observation group were significantly higher than those of the control group(all P<0.05).At 12 weeks and 24 weeks after discharge,the Barthel index(BI)scores of the two groups were significantly higher than those at discharge(all P<0.05),and the scores of the observation group were significantly higher than those of the control group(both P<0.05).At 24 weeks after discharge,the BI scores of the two groups were significantly higher than those at 12 weeks after discharge(both P<0.05).Conclusion Patients with thoracolumbar OVCFs who receive intervention through mobile home care platform can significantly improve their self-efficacy,quality of life and ability in the activities of daily living.