基于微信群的延续护理对颈椎病患者疼痛程度及颈部功能恢复的影响

Effects of continuous nursing based on WeChat groups on pain and cervical function of patients with cervical spondylosis

目的探讨基于微信群的延续护理对颈椎病患者疼痛程度及颈部功能恢复的影响,为颈椎病患者获得良好的预后提供科学依据。方法以2021年3月-2022年3月笔者所在医院收治的121例非手术治疗的颈椎病患者为研究对象,按入院时间将其分为对照组(n=60)和干预组(n=61)。对照组予以常规健康宣教,干预组在对照组的基础上采用基于微信群的延续护理。比较2组颈椎病复发情况、颈椎功能恢复情况、颈部功能障碍程度、疼痛程度及功能锻炼依从性。结果干预3个月后,干预组复发率、视觉模拟评分、颈椎功能障碍指数评分均低于对照组(χ^(2)=4.354,P=0.037;t=3.181,P=0.002;t=3.373,P=0.001);干预组颈椎病临床评价量表评分、功能锻炼依从性总分及各维度评分均高于对照组(P<0.05)。结论基于微信群的延续护理可提高颈椎病患者功能锻炼依从性,从而缓解颈椎病患者疼痛感,改善颈部功能障碍程度,逐步恢复颈椎功能,减少疾病复发情况。

Objective To explore the effect of continuous nursing based on WeChat groups on the pain level and neck function of patients with cervical spondylosis,so as to provide a scientific basis for them to obtain a good prognosis.Methods A total of 121 patients with cervical spondylosis and admitted to the author's hospital between March 2021 and March 2022 were selected,and divided into a control group(n=60)and an intervention group(n=61)by the time of admissim.Both groups received routine health education,while the intervention group was additionally provided with continuous care based on WeChat groups.The recurrence,recovery of cervical spine function,degree of neck dysfunction,pain and compliance in functional exercise were compared between the two groups.Results After 3 months of intervention,the recurrence rate,visual analog scale score and cervical dysfunction index of the intervention group were significantly lower than that of the control group(χ^(2)=4.354,P=0.037;t=3.181,P=0.002;t=3.373,P=0.001),while the score of the cervical spondylosis clinical evaluation scale and the total score of exercise compliance in the intervention group were significantly higher than that of the control group(P<0.05).Conclusion Continuous nursing based on WeChat group can improve the exercise compliance of patients with cervical spondylosis,thereby relieve their pain,improve their neck function,and lower the recurrence.