基于微信平台的综合延续指导对强直性脊柱炎患者治疗疗效、睡眠质量及功能锻炼的影响
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摘要
目的研究基于微信平台的综合延续指导对强直性脊柱炎患者治疗疗效、睡眠质量及功能锻炼的影响。方法选取2017年1月—2018年1月在浙江省丽水市中心医院风湿免疫科住院治疗的92例强直性脊柱炎患者为研究对象,根据随机数表法分为研究组(46例)和对照组(46例)。出院后,对照组给予风湿免疫科常规院外指导干预,观察组在对照组的基础上,给予为期3个月基于微信平台的综合延续指导干预。观察记录并对比分析两组患者治疗疗效、睡眠质量及功能锻炼依从性。结果 (1)干预后两组患者疼痛评分、晨僵时间、枕墙距、胸廓扩张度较干预前有显著改善(P<0.05),且研究组改善程度明显优于对照组(P<0.05);(2)干预后两组患者睡眠质量较干预前有显著改善(P<0.05),且研究组改善程度明显优于对照组(P<0.05);(3)研究组功能锻炼最终坚持率显著高于对照组(93.48%VS 67.39%)(P<0.05)。结论微信平台的综合延续指导能够督促患者积极院外治疗,提高治疗效果,改善睡眠质量,增强功能锻炼依从性,值得临床运用和推广。
Objective To investigate the effect of comprehensive continuation guidance based on Wechat platform on therapeutic efficacy,sleep quality and functional exercise of patients with ankylosing spondylitis. Methods Ninety-two patients with ankylosing spondylitis who were hospitalized from January 2017 to January 2018 in the Department of Rheumatology and Immunology of hospital were selected as the study subjects. According to the random number table method,the study group(46 cases)and the control group(46 cases)were divided into two groups. After discharge,the control group was given routine outof-hospital guidance intervention in rheumatic immunology department,while the observation group was given comprehensive continuing guidance intervention based on Wechat platform for three months on the basis of the control group. The therapeutic effect,sleep quality and functional exercise compliance of the two groups were observed,recorded and compared. Results The pain score,morning stiffness time,occipital wall distance and thoracic dilatation of the two groups were significantly improved after the intervention(P<0.05),and the improvement degree of the study group was significantly better than that of the control group(P<0.05). The sleep quality of the two groups was significantly improved after the intervention(P<0.05),and the improvement degree of the study group was significantly better than that of the control group(P<0.05). The final adherence rate of exercise was significantly higher than that of control group(93.48% vs 67.39%)(P<0.05). Conclusion The comprehensive continuation guidance of Wechat platform can urge patients to actively treat outside hospital,improve the therapeutic effect,improve sleep quality and enhance functional exercise compliance,which is worthy of clinical application and promotion.
Objective To investigate the effect of comprehensive continuation guidance based on Wechat platform on therapeutic efficacy,sleep quality and functional exercise of patients with ankylosing spondylitis. Methods Ninety-two patients with ankylosing spondylitis who were hospitalized from January 2017 to January 2018 in the Department of Rheumatology and Immunology of hospital were selected as the study subjects. According to the random number table method,the study group(46 cases)and the control group(46 cases)were divided into two groups. After discharge,the control group was given routine outof-hospital guidance intervention in rheumatic immunology department,while the observation group was given comprehensive continuing guidance intervention based on Wechat platform for three months on the basis of the control group. The therapeutic effect,sleep quality and functional exercise compliance of the two groups were observed,recorded and compared. Results The pain score,morning stiffness time,occipital wall distance and thoracic dilatation of the two groups were significantly improved after the intervention(P<0.05),and the improvement degree of the study group was significantly better than that of the control group(P<0.05). The sleep quality of the two groups was significantly improved after the intervention(P<0.05),and the improvement degree of the study group was significantly better than that of the control group(P<0.05). The final adherence rate of exercise was significantly higher than that of control group(93.48% vs 67.39%)(P<0.05). Conclusion The comprehensive continuation guidance of Wechat platform can urge patients to actively treat outside hospital,improve the therapeutic effect,improve sleep quality and enhance functional exercise compliance,which is worthy of clinical application and promotion.
引文
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[4]李汝清,雷军,郎静,等.功能康复锻炼对强直性脊柱炎疾病评价指数的影响[J].中国临床保健杂志,2017,20(3):291-293.
[5]张月.延续性护理模式对强直性脊柱炎患者生活质量及治疗依从性的影响[J].现代医学,2017,45(12):1836-1840.
[6]中华医学会风湿病学分会.强直性脊柱炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(8):557-559.
[7]王伟,刘雪梅.延续护理心理干预方式对强直性脊柱炎患者抑郁和焦虑状态的影响[J].中国健康心理学杂志,2018,26(4):555-558.
[8]严广斌.视觉模拟评分法[J].中华关节外科杂志(电子版),
[9]2H0I14T,A8-(C2O)N:T3R4.ERASF, MARTíN E Z LóP E ZE,LATORREROMáN P A,et al. Reliability and validity of the Spanish version of the Pittsburgh Sleep Quality Index(PSQI)in patients with fibromyalgia.[J]. Rheumatol Int,2014,34(7):929-936.
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[11]YANG Z,ZHAO W,LIU W,et al. Efficacy evaluation of methotrexate in the treatment of ankylosing spondylitis using meta-analysis[J]. Int J Clin Pharmacol Ther,2014,52(5):346-351.
[12]李坤鹏,黄烽.重视康复运动在强直性脊柱炎治疗中的关键作用[J].中华内科杂志,2017,56(9):635-638.
[13]胡竹芳,万承贤,徐璐,等.运用微信对强直性脊柱炎出院患者行延续护理的效果[J].中华护理杂志,2015,50(2):175-178.
[14]刘艳艳,孔瑞娜.强直性脊柱炎患者延续性护理的研究进展[J].中国实用护理杂志,2016,32(23):1830-1833.
[15]赵翠芬,晁少荣,董春燕,等.微信平台用于强直性脊柱炎早期患者功能锻炼指导[J].护理学杂志,2016,31(13):89-91.
[16]王菲.综合护理干预对强直性脊柱炎患者的功能锻炼依从性及睡眠质量的影响研究[J].山西医药杂志,2016,45(1):106-108.
[2]CARETTE S,GRAHAM D,LITTLE H,et al. The natural disease course of ankylosing spondylitis[J]. Arthritis Rheum,2014,26(2):186-190.
[3]章冲,汪悦.运动疗法在强直性脊柱炎治疗中的应用研究[J].中医药导报,2015,21(12):91-93.
[4]李汝清,雷军,郎静,等.功能康复锻炼对强直性脊柱炎疾病评价指数的影响[J].中国临床保健杂志,2017,20(3):291-293.
[5]张月.延续性护理模式对强直性脊柱炎患者生活质量及治疗依从性的影响[J].现代医学,2017,45(12):1836-1840.
[6]中华医学会风湿病学分会.强直性脊柱炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(8):557-559.
[7]王伟,刘雪梅.延续护理心理干预方式对强直性脊柱炎患者抑郁和焦虑状态的影响[J].中国健康心理学杂志,2018,26(4):555-558.
[8]严广斌.视觉模拟评分法[J].中华关节外科杂志(电子版),
[9]2H0I14T,A8-(C2O)N:T3R4.ERASF, MARTíN E Z LóP E ZE,LATORREROMáN P A,et al. Reliability and validity of the Spanish version of the Pittsburgh Sleep Quality Index(PSQI)in patients with fibromyalgia.[J]. Rheumatol Int,2014,34(7):929-936.
[10]马超,魏金栋,张洪相.强直性脊柱炎早期诊治进展[J].中国基层医药,2015,44(18):2859-2862,2863.
[11]YANG Z,ZHAO W,LIU W,et al. Efficacy evaluation of methotrexate in the treatment of ankylosing spondylitis using meta-analysis[J]. Int J Clin Pharmacol Ther,2014,52(5):346-351.
[12]李坤鹏,黄烽.重视康复运动在强直性脊柱炎治疗中的关键作用[J].中华内科杂志,2017,56(9):635-638.
[13]胡竹芳,万承贤,徐璐,等.运用微信对强直性脊柱炎出院患者行延续护理的效果[J].中华护理杂志,2015,50(2):175-178.
[14]刘艳艳,孔瑞娜.强直性脊柱炎患者延续性护理的研究进展[J].中国实用护理杂志,2016,32(23):1830-1833.
[15]赵翠芬,晁少荣,董春燕,等.微信平台用于强直性脊柱炎早期患者功能锻炼指导[J].护理学杂志,2016,31(13):89-91.
[16]王菲.综合护理干预对强直性脊柱炎患者的功能锻炼依从性及睡眠质量的影响研究[J].山西医药杂志,2016,45(1):106-108.