二维码视频辅助功能锻炼提高桡骨远端骨折夹板外固定患者参与度、依从性及关节功能的效果分析

Effect of Two-Dimensional Code Video-Assisted Functional Exercise on Improving the Participation,Compliance and Joint Function of Patients with Distal Radius Fracture Splint External Fixation

目的探讨二维码视频辅助功能锻炼在桡骨远端骨折(DRF)夹板外固定患者中的应用效果。方法选取2019年3月—2022年3月在广州中医药大学附属深圳平乐骨伤科医院接受夹板外固定的100例DRF患者为研究对象,按照随机数表法将其分为对照组和研究组,每组50例。对照组患者给予功能锻炼治疗,研究组在对照组基础上加以二维码视频辅助治疗。比较两组患者参与度、依从性、腕关节功能及生活质量。结果研究组患者总依从率高于对照组,差异具有统计学意义(P<0.05)。治疗3个月后,两组Gartland-Werley腕关节评分、腕关节掌倾角、尺偏角、握力及36项简表调查(SF-36)评分均高于治疗前,差异有统计学意义(P<0.05);研究组Gartland-Werley腕关节评分客观、主观及总分、腕关节掌倾角、尺偏角、握力及SF-36评分均高于对照组,差异有统计学意义(P<0.05)。结论二维码视频辅助功能锻炼能有效提高DRF夹板外固定患者参与度及依从性,改善腕关节功能,提高患者生活质量。

Objective To investigate the effect of two-dimensional code video-assisted functional exercise in improving the application effect of splint external fixation in patients with distal radius fracture(DRF).Methods A total of 100 patients with DRF who received splint external fixation in the hospital from March 2019 to March 2022 were selected and divided into control group(n=50)and study group(n=50)by random number table method.The patients in the control group were given functional exercise therapy,and the patients in the research group were given two-dimensional code video-assisted therapy on the basis of the control group.The wrist performance,wrist mobility,participation,compliance and quality of life were compared between the two groups.Results The overall compliance rate of patients in the study group was higher than that in the control group(P<0.05).After 3 months of treatment,the Gartland-Werley wrist joint score,palmar inclination angle,ulnar declination angle,grip strength and 36-item short form survey(SF-36)scores in the two groups were all higher than those before treatment(P<0.05).The objective,subjective and total scores of Gartland-Werley wrist joint score,wrist palm inclination angle,ulnar declination angle,grip strength and SF-36 score in the study group were higher than those in the control group(P<0.05).Conclusion Two-dimensional code video-assisted functional exercise can effectively improve the participation and compliance of patients with DRF splint external fixation,improve wrist function,and improve the quality of life of patients.