中西医结合护理在微信平台干预骨质疏松患者中的应用  

Application of Integrated Traditional Chinese Medicine and Western Medicine Nursing on Osteoporosis Patients on WeChat Platform

作　　者：郑雪红[1] 李萍[1] 张晓宇[1] 丁芬芳[1] ZHENG Xue-hong;LI Ping;ZHANG Xiao-yu(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin(300381),China)

机构地区：[1]天津中医药大学第一附属医院,天津300192

出　　处：《中国中西医结合外科杂志》2020年第4期730-734,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市教委科研计划项目(2018KJ040)。

摘　　要：目的:探究中西医结合护理通过微信平台干预对围绝经期骨质疏松症患者的应用效果。方法:选择2017年9月—2018年9月我院收治的中医辨证为脾肾两虚型围绝经期骨质疏松症患100例,随机分为观察组和对照组各50例。两组患者住院期间均给予住院教育,教育内容包括围绝经期骨质疏松症患者的饮食、心理、运动、防跌倒等常规知识。对照组出院后将住院教育以视频及文字形式发给患者,观察组在此基础上,住院时建立微信群,出院后通过微信平台实施健康教育,两组患者均随访6个月,观察两组的干预效果。结果:观察组患者干预后的健康状况调查问卷、疾病有关知识评分、治疗依从率、疼痛视觉模拟评分量表均优于对照组,差异均有统计学意义(P<0.05)。结论:对围绝经期骨质疏松患者应用微信教育实施延续护理时能改善其骨质疏松症状,促进康复,具有较高的临床应用价值。Objective To explore the application of integrated traditional Chinese and western medicine nursing onWeChat platform for perimenopausal osteoporosis patients.Methods Totally 100 perimenopausal osteoporosis patientswith deficiency of both the spleen and kidney were selected as the research subjects for TCM syndromes treated in our hospital from September 2017 to September 2018.They were randomly divided into observation group and control group,with 50 cases in each group.During the hospitalization period,the patients in both groups were given hospitalization education and the education content included general knowledge about diet,psychology,exercise and fall prevention for patients with perimenopausal osteoporosis.The control group was sent hospitalization education to patients in the form of videos and texts after being discharged from the hospital.On the basis of this,the observation group was established a WeChat group when hospitalized and was implemented health education through the WeChat platform after discharge.Patients in both groups were followed up for 6 months.Results Patients’health status questionnaire before and after the intervention,diseaserelated knowledge score,treatment compliance rate and pain visual analogue scale were all significantly different(P<0.05).Conclusion Applying WeChat education to perimenopausal patients with osteoporosis can improve their osteoporosis symptoms and promote rehabilitation,which has a higher clinical value.

关 键 词：骨质疏松 围绝经期 微信平台 延续护理 

分 类 号：R473.6[医药卫生—护理学]