互联网+康复护理服务和延续性护理对骨质疏松性腰椎压缩骨折患者术后康复的作用

目的 探讨互联网+康复护理服务和延续性护理与常规护理对骨质疏松性腰椎压缩骨折(OLCF)患者术后康复作用的效果.方法 采用回顾性病例对照研究分析2018年5月至2019年10月河南医学高等专科学校附属医院收治的123例OLCF患者的临床资料,其中男46例,女77例;年龄56 ～ 74岁[(65.3±5.4)岁].损伤节...

Effect of Internet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture

Objective To investigate the effect of Intemet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture(OLCF).Methods A retrospective case-ontrol study was conducted to analyze the clinical data of 123 patients with OLCF adnmitted to Affliated Hospital of Henan Medical College from May 2018 to October 2019.There were 46 males and 77 females,aged 56-74 years[(65.3±5.4)years].The level of injury was located at L₁ in 93 patients,L₂ in 19,L₃in 10,and L₄ in 1.The Denis fracture classification was type A in 26 patients,type B in 30,typeC in 27,and type D in 40.All patients were treated by percutaneous kyphoplasty(PKP).A total of 62 patients were given Internet plus rehabiltation care services and continual care guidance(Group A).and 61 patients were given routine care health education before discharge(Group B).The Japanese orthopaedic association(JOA)score,visual analoge score(VAS),osteoporosis health confidence scale(OHBS)score,and adult health self-management ability asessment scale(AHSMSRS)score were recorded before and after intervention.The self-made questionnaires and Newcastle nursing service satisfaction scale(NSNS)were used to evaluate the compliance rate and nursing satisfaction after 3 months of intervention.Results All patients were fllowed up for 3-6 months[(4.5±1.2)months].In Group A,the J0A score was(12.1±2.1)points before intervention and(23.0±1.1)points after 3 months of intervention;the VAS was(4.4±1.3)points before intervention and(1.5±0.6)points ater 3 months of intervention;the OHBS score was(81.4±4.0)points before intervention and(121.6±9.7)points after 3 months of intervention;the AHISMSRS score was(96.3±3.5)points before intevention and(143.5±11.0)points after 3 months of intervention.In Group B,the J0A score was(12.3±2.1)points before intervention and(20.4±1.2)points after3 months of intervention;the VAS was(4.2±1.4)points before intervention and(3.6±1.1)points after 3 months of intervention;the OHBS score was(82.1±3.7)points before intervention and(108.719.4)points after 3 months of intervention;the AHSMSRS score was(97.1±3.8)points before intervention and(127.719.9)points ater 3 months of intervention.The J0A score,VAS,OHBS score and AHSMSRS score in both groups were signifcantly improved after intervention(P<0.01).These scores in Group A were higher than those in Group B after 3 months of intervention(P<0.01).The compliance rate and nursing satisfaction in Group A were 90%(56/62)and 94%(58/62)afer 3 months of intervention,while those in Group B were 74%(45/61)and 75%(46/61)(P<0.05 or 0.01).Conclusion Compared with conventional nursing,Internet plus rehabilitation nursing service and continual nusing for OLCF patients can promote the postoperative lumbar functional recovery,reduce pain,improve self-management ability and compliance behavior,and enhance the recognition of nursing service,which is worthy of clinical application.