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Effect of Internet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture / 中华创伤杂志
Chinese Journal of Trauma ; (12): 261-266, 2021.
Article in Chinese | WPRIM | ID: wpr-909863
ABSTRACT

Objective:

To investigate the effect of Internet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture (OLCF).

Methods:

A retrospective case-control study was conducted to analyze the clinical data of 123 patients with OLCF admitted to Affiliated Hospital of Henan Medical College from May 2018 to October 2019. There were 46 males and 77 females, aged 56-74 years [(65.3±5.4)years]. The level of injury was located at L 1 in 93 patients, L 2 in 19, L 3 in 10, and L 4 in 1. The Denis fracture classification was type A in 26 patients, type B in 30, type C in 27, and type D in 40. All patients were treated by percutaneous kyphoplasty (PKP). A total of 62 patients were given Internet plus rehabilitation care services and continual care guidance (Group A), and 61 patients were given routine care health education before discharge (Group B). The Japanese orthopaedic association (JOA) score, visual analoge score (VAS), osteoporosis health confidence scale (OHBS) score, and adult health self-management ability assessment scale (AHSMSRS) score were recorded before and after intervention. The self-made questionnaires and Newcastle nursing service satisfaction scale (NSNS) were used to evaluate the compliance rate and nursing satisfaction after 3 months of intervention.

Results:

All patients were followed up for 3-6 months [(4.5±1.2)months]. In Group A, the JOA score was (12.1±2.1)points before intervention and (23.0±1.1)points after 3 months of intervention; the VAS was (4.4±1.3)points before intervention and (1.5±0.6)points after 3 months of intervention; the OHBS score was (81.4±4.0)points before intervention and (121.6±9.7)points after 3 months of intervention; the AHSMSRS score was (96.3±3.5)points before intervention and (143.5±11.0)points after 3 months of intervention. In Group B, the JOA score was (12.3±2.1)points before intervention and (20.4±1.2)points after 3 months of intervention; the VAS was (4.2±1.4)points before intervention and (3.6±1.1)points after 3 months of intervention; the OHBS score was (82.1±3.7)points before intervention and (108.7±9.4)points after 3 months of intervention; the AHSMSRS score was (97.1±3.8)points before intervention and (127.7±9.9)points after 3 months of intervention. The JOA score, VAS, OHBS score and AHSMSRS score in both groups were significantly improved after intervention ( P<0.01). These scores in Group A were higher than those in Group B after 3 months of intervention ( P< 0.01). The compliance rate and nursing satisfaction in Group A were 90% (56/62) and 94% (58/62) after 3 months of intervention, while those in Group B were 74% (45/61) and 75% (46/61) ( P<0.05 or 0.01).

Conclusion:

Compared with conventional nursing, Internet plus rehabilitation nursing service and continual nursing for OLCF patients can promote the postoperative lumbar functional recovery, reduce pain, improve self-management ability and compliance behavior, and enhance the recognition of nursing service, which is worthy of clinical application.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Practice guideline / Observational study / Risk factors Language: Chinese Journal: Chinese Journal of Trauma Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Practice guideline / Observational study / Risk factors Language: Chinese Journal: Chinese Journal of Trauma Year: 2021 Type: Article