锻炼日志联合多媒体技术对强直性脊柱炎患者功能锻炼的效果  

Effect of daily log combined with multimedia technology on functional exercise in patients with ankylosing spondylitis

作　　者：李则宾[1] 李素娟 张力[3] 雷敏[4] 

机构地区：[1]河北医科大学第三医院东院综合管理办公室,石家庄050051 [2]武警河北总队医院内一科,石家庄050018 [3]河北医科大学第三医院免疫风湿科,石家庄050051 [4]河北医科大学第三医院营养科,石家庄050051

出　　处：《中华现代护理杂志》2015年第6期673-676,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨功能锻炼日志联合多媒体技术对强直性脊柱炎患者功能锻炼的效果。方法将61例强直性脊柱炎患者采用随机数字表法分为研究组31例与对照组30例，两组患者均接受相同的药物治疗方案，研究组采用多媒体授课及视频引导下的同步功能锻炼方式，锻炼完毕记录锻炼日志；对照组进行传统的健康教育及功能锻炼指导。比较两组干预前和干预后3个月的脊柱活动度（ BASMI评分）、Bath强直性脊柱炎功能指数（BASFI）评价和功能锻炼依从性。结果干预前研究组的BASMI评分和BASFI评分分别为（4．6±1．8），（47．67±17．31）分，干预后分别降至（2．6±1．6），（16．72±12．91）分，改善程度均优于对照组，两组干预后比较差异有统计学意义（ t值分别为3．125，3．213；P＜0．01）。干预3个月后，研究组的依从性良好率为83．9％，对照组为46．7％，差异有统计学意义（χ2＝9．348，P ＜0．01）。结论锻炼日志联合多媒体技术应用于强直性脊柱炎患者功能锻炼指导，有利于患者掌握锻炼方法，改善患者脊柱活动度和机体功能。Objective To investigate the effect of daily log combined with multimedia technology on functional exercise in patients with ankylosing spondylitis .Methods A total of 61 patients were randomly assigned to experimental group （ 31 ） and control group （ 30 ） .Two groups of patients accept the same drug therapy.The patients in the experimental group underwent multimedia course and synchronous training of function excise guided by simultaneous video , and they were requested to write daily log about functional exercise .The patients in the control group took use of conventional health education and conventional functional exercise guidance .We assessed patients by Bath ankylosing spondylitis functional index （ BASMI ） , Bath ankylosing spondylitis metrology index （ BASFI ） and functional exercises compliance at pre-and post-treatment three months.Results In the experimental group, BASMI score decreased from （4.6 ±1.8） to （2.6 ±1.6） and BASFI score decreased from （47.67 ±17.31） to （16.72 ±12.91）.In the control group BASMI score reduced from （4.7 ±1.7） to （3.5 ±1.3） and BASFI score declined from （48.01 ±16.86） to （23.83 ± 13.03）.The difference of BASMI score and BASFI score between these two groups were significant at post -treatment （t=3.125, 3.213;P〈0.01）.The excellent rates of functional exercises compliance were indifferent between two groups before intervention , but it increased to 83.9% in the experimental group and the number was 46.7%in the control group at three month post-treatment （P〈0.01）.Conclusions Daily log combined with multimedia technology applies for patients with ankylosing spondylitis contributing them to master the method of functional exercise , and the spinal motion and body function can be significantly improved after three months′intervention .

关 键 词：脊柱炎 强直性 日志 多媒体技术 功能锻炼 

分 类 号：R473.5[医药卫生—护理学]