基于“互联网+”的自我管理干预在早期膝骨关节炎患者中的应用研究

Application of self-management intervention based on"Internet+"in patients with early knee osteoarthritis

目的 探讨基于“互联网+”的自我管理干预对早期膝骨关节炎患者的应用效果,为自我管理干预模式的多样性提供更多参考。方法 选取86例2022年2月至6月在西安市某医院骨科门诊就诊的早期膝骨关节炎患者,将其随机分为对照组和干预组。对照组仅通过微信群发送自我管理方案,不做特殊管理,干预组通过微信群结合微信公众平台管理和监督的方式进行干预。分别在干预前、干预结束时、干预结束后第8周比较两组患者自我管理行为、早期膝骨关节炎疾病知识认知度、西安大略麦克马斯特大学骨关节炎指数得分。结果 干预前,两组患者自我管理行为、疾病知识认知度、骨关节炎指数得分均无统计学差异(P>0.05)。干预结束、干预结束后8周,干预组患者自我管理行为、疾病知识认知度均明显优于对照组(P<0.01);两组西安大略麦克马斯特大学骨关节炎指数得分中疼痛维度得分无统计学差异(P>0.05),但干预组在总分、关节僵硬和进行日常生活的难度维度均优于对照组(P<0.01或P<0.05)。结论 基于“互联网+”的自我管理干预能够改善早期膝骨关节炎患者自我管理行为,提高其早期膝骨关节炎疾病知识认知度,改善其部分膝关节功能。

Objective To explore the effect of self-management intervention based on"Internet+"in patients with early knee osteoar-thritis(KOA),and to provide more reference for the diversity of self-management intervention modes.Methods A total of 86 early KOA pa-tients who were treated in the orthopedic outpatient clinic of a hospital in Xi'an from February to June 2022 were randomly divided into the con-trol group and the intervention group.The control group only sent the self-management program through the WeChat group without special man-agement,and the intervention group intervened through the WeChat group combined with the WeChat public platform management and supervi-sion.The self-management behaviors,disease knowledge awareness of early KOA,and the score of Western Ontario McMaster University Osteo-arthritis Index(WOMAC)were compared between the two groups before the intervention,at the end of the intervention and at the 8th week after the end of the intervention.Results Before the intervention,there were no statistically significant differences in self-management behavior,dis-ease knowledge awareness,and WOMAC scores between the two groups(P>0.05).At the end of the intervention and the 8th week after the end of the intervention,the self-management behavior and disease knowledge awareness of the patients in the intervention group were significantly better than those of the control group(P<0.01).There was no statistically significant difference in the pain dimension of WOMAC between the two groups(P>0.05),but the intervention group was better than that of the control group in the total score,joint stiffness and difficulty in daily life(P<0.01 or P<0.05).Conclusion The self-management intervention based on"Internet+"can improve the self-management behavior of patients with early KOA,improve their disease knowledge awareness of early knee osteoarthritis,and improve some of their knee function.