远程网络视频对类风湿关节炎关节屈曲挛缩畸形患者家庭照顾效果的影响

目的探究远程网络视频对类风湿关节炎关节屈曲挛缩畸形患者家庭照顾效果的影响。方法选取2012年1月至2016年1月在该院接受治疗的类风湿关节炎关节屈曲挛缩畸形患者90例,按照随机数字表法分为试验组和对照组,两组患者各45例。对照组采取出院指导与电话回访模式,观察组采取出院指导与远程网络视频访视模式。两组患者均在出院45d后接受回访,比较两组患者Fugl-Meyer运动功能评分(FMA)、汉密尔顿焦虑量表(HAMA)评分、改良Barther指数评定(MBI)、Berg平衡量表(BBS)评价肢体功能恢复状况和汉密尔顿抑郁量表(HAMD)评分差异。结果 Fugl-Meyer运动功能评分比较结果显示,试验组患者无支撑站立评分1、2、3分的患者分别有14例(31.1%)、19例(42.2%)和12例(26.7%),对照组有26例(57.8%)、11例(24.4%)和8例(17.8%);试验组患者坐位评分1、2、3分的分别有16例(35.6%)、15例(33.3%)和14例(31.1%),对照组分别有26例(57.8%)、13例(28.9%)和6例(13.1%),试验组患者患侧展翅评分1、2、3分的患者分别为15例(33.3%)、20例(44.5%)和10例(22.2%),对照组为29例(64.5%)、10例(22.2%)和6例(13.3%);两组患者在站立、坐位和患侧展翅FuglMeyer得分情况差异均有统计学意义(P0.05);两组患者MBI、BBS评分比较结果显示,试验组两个指标评分均高于对照组,差异均有统计学意义(P0.05)。试验组HAMD、HAMA评分均低于对照组患者,差异具有统计学意义(P0.05)。结论远程网络视频对类风湿关节炎关节屈曲挛缩畸形患者家庭照顾效果较好,有助于患者肢体功能的恢复并且有利于减轻患者心理压力。

Effect of remote network video on family care of patients with joint flexion contracture deformity of rheumatoid arthritis

Objective To explore the effect of remote network video on family care of patients with joint flexion contracture de ‐formity of rheumatoid arthritis .Methods Totally 90 patients with joint flexion contracture deformity of rheumatoid arthritis from January 2012 to January 2016 in the hospital were selected .According to the random number table method ,the patients were divided into the observation group (n= 45) and the control group (n= 45) .The control group adopted discharge‐guidance and telephone re‐turn visit mode ,and observation group adopted discharge guidance and remote network video interview .Two groups of patients re‐ceived a return visit 45 days after leaving the hospital .Fugl Meyer movement function score (FMA ) ,Berg Balance score (BBS) , modified barther index scale (MBI) ,Hamilton anxiety scale (HAMA) and Hamilton Depression scale (HAMD) were compared be‐tween the two groups .Results The FMA results showed that the number of unsupported standing scores 1 ,2 and 3 points were 14 (31 .1% ) ,19 (42 .2% ) and 12 cases (26 .7% ) in the observation group ,26 (57 .8% ) ,11 (24 .4% ) and 8 cases (17 .8% ) in the control group .The number of patients who got seated score 1 ,2 and 3 points were 16 (35 .6% ) ,15 (33 .3% ) and 14 cases (31 .1% ) in the observation group ,while the number in control group were 26 (57 .8% ) ,13 (28 .9% ) and 6 cases (13 .1% ) .The number of patients who got lateral wings score 1 ,2 and 3 points were 15 (33 .3% ) ,20 (44 .5% ) and 10 cases (22 .2% ) ,while the number in the control group was 29 (64 .5% ) ,10 (22 .2% ) and 6 cases (13 .3% ) ,differences between the two groups of patients had statisti‐cally significances (P< 0 .05) .Meanwhile ,MBI and BBS scores in observation group were significantly higher than that in control group (P< 0 .05) .And the HAMA and HAMD scores in observation group were significantly lower than that in the control group (P< 0 .05) .Conclusion Network video has a significant efficacy in treatment of patients with rheumatoid arthritis joint flexion contracture deformity ,which could help recovery of limb function and to reduce the psychological pressure of the patients and their families .