AI聊天机器人在骨质疏松骨折术后患者延续护理中的应用  

Application of AI chatbot in continuity of care for patients with osteoporotic fractures

作　　者：岳瑞雪 李军科 岳淑梅[1] 李燕平 孙邦建[1] Yue Ruixue;Li Junke;Yue Sumei;Li Yanping;Sun Bangjian(Orthopedics Department of Handan First Hospital,Handan 056002,China)

机构地区：[1]邯郸市第一医院骨科,河北邯郸056002

出　　处：《护理学杂志》2023年第14期13-17,共5页Journal of Nursing Science

基　　金：河北省卫生健康委医学科学研究课题(20220507)。

摘　　要：目的探讨AI聊天机器人在骨质疏松骨折术后患者院外延续护理中的应用效果。方法将300例骨质疏松骨折术后患者按照时间分为常规组和干预组,每组150例。常规组实施常规院外延续护理,干预组在常规组的基础上由AI聊天机器人辅助完成院外延续护理。比较两组干预后骨质疏松健康信念水平、健康自我管理能力、疼痛评分、关节功能及二次骨折发生率。结果出院1个月、3个月、6个月、12个月干预组骨质疏松健康信念水平、健康自我管理能力评分显著高于常规组,二次骨折发生率显著低于常规组(均P<0.05);两组干预前及干预后各时间点疼痛及Harris髋关节功能评分比较,差异无统计学意义(均P>0.05)。结论AI聊天机器人用于骨质疏松骨折术后患者院外延续护理,可有效提高患者骨质疏松健康信念及健康自我管理能力,降低二次骨折发生率。Objective To explore the application effect of Artificial Intelligence(AI)chatbot in continuity of care for patients with osteoporotic fractures after discharge.Methods A total of 300 patients with postoperative osteoporotic fractures in our hospital were divided into a routine group and an intervention group according to time,with 150 cases in each group.The routine group received routine continuity of care,and the intervention group received AI chatbots-based continuity of care on the basis of routine care.The osteoporotic health belief level,health self-management ability,pain score,joint function,and incidence of secondary fractures were compared between the two groups after intervention.Results The osteoporotic health belief level and health self-management ability scores of the intervention group were significantly higher than those of the control group at 1 month,3 months,6 months,and 12 months after discharge,and the incidence of secondary fractures was significantly lower than that of the control group(all P<0.05).There was no significant difference in pain score and Harris hip joint function score before and after intervention at each time point between the two groups(all P>0.05).Conclusion The AI chatbot used in the continuity of care for patients with osteoporotic fractures after discharge can effectively improve patients′osteoporotic health belief and health self-management ability,and reduce the incidence of secondary fractures.

关 键 词：骨质疏松 骨折 人工智能 聊天机器人 健康信念 自我管理 疼痛 延续护理 

分 类 号：R473.2[医药卫生—护理学]