微信干预对腰椎间盘突出症保守治疗患者生活质量的影响(1)
【摘要】 目的：探索微信干預对腰椎间盘突出症保守治疗患者生活质量的影响。方法：选取2018年1月-2019年8月在本院就诊的符合本研究纳入标准的腰椎间盘突出症患者163例，采用卧床、脱水消肿、营养神经、腰背肌功能锻炼等保守治疗，根据奇偶数随机分为对照组81例和研究组82例，对照组采用常规就诊医嘱指导及电话随访，研究组就诊后建立微信进行微信随访。收集患者就诊时及第1、2、4、6、8、12周病例资料，比较两组患者对腰椎间盘突出症疾病认知度、自身管控能力、疼痛视觉模拟评分(VAS评分)、日本JOA评分、生活质量改善情况。结果：干预第2、4、6、8、12周，研究组VAS评分均低于对照组，差异均有统计学意义(P<0.05);干预12周后，研究组生理功能、身体疼痛、社会功能、精神健康、总体健康评分均高于对照组，差异均有统计学意义(P<0.05);干预第2、4、6、8、12周，研究组JOA评分均高于对照组，差异均有统计学意义(P<0.05);干预第6、8、12周，研究组自身管控能力评分均明显高于对照组，差异均有统计学意义(P<0.05);干预12周后，研究组对LDH相关知识了解程度评分明显高于对照组，差异有统计学意义(P<0.05);研究组优良率为84.15%，明显高于对照组的69.14%，差异有统计学意义(P<0.05)。结论：微信平台在干预腰椎间盘突出症保守治疗健康管理应用中，不仅可提高患者对本疾病认知度，增强执行度和遵医嘱行为，还可改善患者日常生活质量，值得在临床健康管理中推广。
【关键词】 微信干预 腰椎间盘突出症 保守治疗 生活质量
[Abstract] Objective： To explore the effect of WeChat intervention on quality of life in patients with conservative treatment of lumbar disc herniation. Method： A total of 163 patients with lumbar disc herniation who were admitted to our hospital from January 2018 to August 2019 and met the inclusion criteria of this study were selected. Conservative treatment included bed rest， dehydration and detumescence， nourishing nerves， and functional exercise of lumbar dorsal muscles， according to odd even numbers， they were randomly divided into 81 cases of control group and 82 cases of study group. The control group was guided by routine medical advice and followed up by telephone， WeChat was established for WeChat follow-up after treatment. Data of patients at visit and 1， 2， 4， 6， 8 and 12 weeks after treatment were collected， awareness of lumbar disc herniation， self-management， visual analogue pain score (VAS)， Japanese JOA score and improvement in quality of life were compared between the two groups. Result： At 2， 4， 6， 8 and 12 weeks of the intervention，VAS scores in the study group were lower than those in the control group， the differences were statistically significant (P<0.05). After 12 weeks of intervention， the physiological function， physical pain， social function， mental health and overall health scores of the study group were all higher than those of the control group， the differences were statistically significant (P<0.05). At 2， 4， 6， 8 and 12 weeks of the intervention， the JOA score of the study group were higher than those of the control group， the differences were statistically significant (P<0.05). At 6， 8 and 12 weeks of the intervention， the score of the control ability of the study group were significantly higher than those of the control group， the differences were statistically significant (P<0.05). After 12 weeks of intervention， the understanding of LDH in the study group was significantly higher than that in the control group， the difference was statistically significant (P<0.05). The excellent rate of the study group was 84.15%， significantly higher than 69.14% in the control group， the difference was statistically significant (P<0.05). Conclusion： WeChat platform in the intervention of conservative treatment of lumbar disc herniation in the application of health management， not only can improve patients’ awareness of the disease， enhance the degree of implementation and compliance with doctor’s orders， but also can improve the quality of daily life of patients， worthy of promotion in clinical health management., 百拇医药(石通和 罗四海 谭爱群 黄睿豪 温金焘 周敏 曾官红)
【关键词】 微信干预 腰椎间盘突出症 保守治疗 生活质量
[Abstract] Objective： To explore the effect of WeChat intervention on quality of life in patients with conservative treatment of lumbar disc herniation. Method： A total of 163 patients with lumbar disc herniation who were admitted to our hospital from January 2018 to August 2019 and met the inclusion criteria of this study were selected. Conservative treatment included bed rest， dehydration and detumescence， nourishing nerves， and functional exercise of lumbar dorsal muscles， according to odd even numbers， they were randomly divided into 81 cases of control group and 82 cases of study group. The control group was guided by routine medical advice and followed up by telephone， WeChat was established for WeChat follow-up after treatment. Data of patients at visit and 1， 2， 4， 6， 8 and 12 weeks after treatment were collected， awareness of lumbar disc herniation， self-management， visual analogue pain score (VAS)， Japanese JOA score and improvement in quality of life were compared between the two groups. Result： At 2， 4， 6， 8 and 12 weeks of the intervention，VAS scores in the study group were lower than those in the control group， the differences were statistically significant (P<0.05). After 12 weeks of intervention， the physiological function， physical pain， social function， mental health and overall health scores of the study group were all higher than those of the control group， the differences were statistically significant (P<0.05). At 2， 4， 6， 8 and 12 weeks of the intervention， the JOA score of the study group were higher than those of the control group， the differences were statistically significant (P<0.05). At 6， 8 and 12 weeks of the intervention， the score of the control ability of the study group were significantly higher than those of the control group， the differences were statistically significant (P<0.05). After 12 weeks of intervention， the understanding of LDH in the study group was significantly higher than that in the control group， the difference was statistically significant (P<0.05). The excellent rate of the study group was 84.15%， significantly higher than 69.14% in the control group， the difference was statistically significant (P<0.05). Conclusion： WeChat platform in the intervention of conservative treatment of lumbar disc herniation in the application of health management， not only can improve patients’ awareness of the disease， enhance the degree of implementation and compliance with doctor’s orders， but also can improve the quality of daily life of patients， worthy of promotion in clinical health management., 百拇医药(石通和 罗四海 谭爱群 黄睿豪 温金焘 周敏 曾官红)
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