摘要
目的探讨运用音视频联合回馈教学对强直性脊柱炎患者院外康复的影响。方法按照随机数字表法将60例强直性脊柱炎患者分为试验组32例和对照组28例，2组患者均接受相同的药物治疗方案，对照组采用口头指导患者家庭锻炼，试验组运用音视频联合回馈教学指导患者家庭锻炼，比较2组患者出院4个月复查时家庭锻炼依从性、关节功能和生命质量等指标。结果出院4个月后，试验组患者家庭锻炼依从性较好为84%（27/32）,高于对照组的36%（10/28），差异有统计学意义（χ2=9.238，P〈0.01）。试验组患者在出院4个月后，其健康问卷调查的生理功能、生理职能、躯体疼痛、一般健康状况、活力、社会功能、情感职能、精神健康8个维度得分分别为（72.7 ± 8.4）、（81.5 ± 9.5）、（57.2 ± 8.4）、（65.5 ± 8.4）、（62.9 ± 7.2）、（78.4 ± 7.4）、（67.3 ± 6.2）、（77.2 ± 7.6）分，对照组分别为（60.8 ± 9.1）、（72.1 ± 9.6）、（50.3 ± 9.4）、（60.8 ± 7.0）、（58.2 ± 9.1）、（74.4 ± 8.7）、（60.2 ± 7.2）、（74.3 ± 7.4）分，2组比较差异有统计学意义（t=1.493~5.266，P〈0.05或0.01）。试验组患者在出院4个月后巴氏强直性脊柱炎功能指数（BASFI）10项评分分别为（1.1 ± 0.8）、（1.7 ± 0.2）、（1.8 ± 1.3）、（1.6 ± 1.0）、（3.1 ± 2.1）、（1.0 ± 0.6）、（1.9 ± 1.6）、（3.8 ± 2.5）、（2.6 ± 1.7）、（2.7 ± 1.6）分，对照组分别为（3.8 ± 1.6）、（2.8 ± 1.5）、（2.6 ± 1.5）、（2.8 ± 1.2）、（4.4 ± 2.2）、（2.2 ± 1.0）、（3.3 ± 1.6）、（6.5 ± 2.5）、（5.6 ± 2.6）、（4.3 ± 1.5）分，2组比较差异有统计学意义（t=0.282~8.427，P〈0.05）。
结论应用音视频联合回馈教学对强直性脊柱炎患者行康复指导，有利于患者掌握家庭锻炼方法，改善患者关节功能，提高生命质量。
ObjectiveTo investigate the effect of the use of audio and video feedback on the rehabilitation of patients with ankylosing spondylitis （AS）.Methods60 AS patients were divided into two parts （32 in the experimental group and 28 in the control group） by random number table method, and two groups of patients were treated with the same drug treatment. Patients in the control group were instructed by oral instruction, in the experimental group, the use of audio and video feedback teaching guide patients family exercise, compared with the two groups of patients with four months of follow-up, family exercise compliance, joint function and quality of life, and other indicators.ResultsFour months after the intervention, the experimental group patients family exercise compliance was better than 84% （27/32）, higher than the control group of 36% （10/28）, the difference was statistically significant （χ2=9.238, P 〈 0.01）. Patients in the experimental group in four months after the intervention, the health questionnaire to investigate the physiological function, role limitation due to physical problems, body pain, general health, vitality, social function, role limitation due to emotional problems, mental health eight dimension scores respectively were （72.7±8.4）, （81.5±9.5）, （57.2±8.4）, （65.5±8.4）, （62.9±7.2）, （78.4±7.4）, （67.3±6.2）, （77.2±7.6） points while in the control group were （60.8±9.1）, （72.1±9.6）, （50.3±9.4）, （60.8±7.0）,（58.2±9.1）, （74.4±8.7）, （60.2±7.2）, （74.3±7.4） points, the difference between the two groups had statistical significance （t=1.493-5.266, P 〈 0.05 or 0.01）. Four months after the intervention, the scores of Bath Ankylosing Spondylitis Functional Index （BASFI） of patients with AS in the experimental group were （1.1±0.8）, （1.7±0.2）, （1.8±1.3）, （1.6±1.0）, （3.1±2.1）, （1.0±0.6）, （1.9±1.6）, （3.8±2.5）, （2.6±1.7）, （2.7±1.6） points, while （3.8±1.6）, （2.8±1.5）, （2.6±1.5） 、 （2.8±1.2） , （4.4±2.2） , （2.2±1.0） , （3.3±1.6） , （6.5±2.5） , （5.6±2.6） , （4.3±1.5） control group, the two groups the difference was statistically significant （t=0.282-8.427, P〈0.05）.ConclusionsApplication of audio and video feedback teaching in patients with AS rehabilitation guidance, help patients to master the family training methods, improve the joint function of patients, improve the quality of life.
作者
许崇武
魏丽
刘金花
Xu Chongwu Wei Li Liu Jinhua(Department of Rheumatology, Yijishan Hospital, Wannan Medical College, Anhui Province, Wuhu 241000, China)
出处
《中国实用护理杂志》
2017年第1期24-28,共5页
Chinese Journal of Practical Nursing
关键词
脊柱炎
强直性
音视频
回馈教学
家庭锻炼
Spondylitis, ankylosing
Audio and video
Feedback teaching
Family exercise
