曹婕　　刘炜

[關键词] 微信平台;延续性护理干预;骨质疏松压缩性骨折;并发症发生率;运动功能

[中图分类号] R473.4          [文献标识码] B          [文章编号] 1673-9701（2021）29-0180-04

Analysis on the effect of continuous nursing intervention based on WeChat platform on the motor function and quality of life of patients with osteoporotic compression fractures

CAO Jie   LIU Wei

Gastrointestinal Endoscopy Centre， the First Hospital of Nanchang， Nanchang   330000， China

[Abstract] Objective To explore the positive effect of continuous nursing intervention based on the WeChat platform on improving the motor function and quality of life of patients with osteoporotic compression fractures. Methods A total of 84 patients with osteoporotic compression fractures who were admitted to the Department of Orthopedics of our hospital from December 2017 to April 2020 were randomly selected to carry out corresponding clinical studies.They were randomly divided into a control group and an observation group by the odd and even number drawing method， with 42 cases in each group. Then the patients were given different nursing intervention programs.Only traditional continuous nursing care was given to patients in the control group. On this basis， continuous nursing intervention was implemented for patients in the observation group through the WeChat platform. An objective assessment of the compliance with rehabilitation exercise， the incidence of complications， and changes in motor function and quality of life before and after nursing care in both groups were conducted by the observation team participating in this study. Results A comprehensive analysis of the results showed that the total compliance with rehabilitation exercise for the patients in the observation group after nursing was 95.24%， which was higher than that of 78.57% in the patients in the control group. The overall incidence rate of complications was 7.14%， which was significantly lower than that of 23.80% in the control group. There were statistical differences in related data between the groups（P<0.05）. In addition， the motor function and quality of life of the patients in the observation group after nursing care were also significantly better than those in the control group， and the data difference between the groups was statistically significant（P<0.05）. Conclusion On the basis of traditional continuous nursing care， the WeChat platform is used to provide continuous nursing care intervention for patients with osteoporotic compression fractures. Not only can it continuously strengthen its motor function on the premise of improving its compliance with rehabilitation exercises， but it can also effectively improve its quality of life while minimizing the incidence of complications， so as to promote its speedy recovery.

[Key words] WeChat platform; Continuous nursing intervention; Osteoporotic compression fractures; Incidence rate of complications; Motor function

医学研究表明，骨质疏松属于一种因骨量低、骨组织微结构损坏导致骨脆性增加且易发生骨折的全身性骨病[1-2]。WHO的相关资料显示，压缩性骨折属于骨质疏松的并发症，多发于老年群体。而在针对骨质疏松压缩性骨折患者的治疗方面，目前临床仍以卧硬板床制动并于其受伤背部垫放软垫以促进腰背部位后伸为主，但该疾病的治疗时间及恢复时间较长，若患者出院后得不到持续性的健康指导和护理干预则难以优化预后效果，无法促进运动功能的快速恢复及生活质量的有效提升。由此可见，院后延续性护理干预至关重要。但综合实际，在传统的延续性护理干预模式中，医护人员往往仅凭数次电话随访对患者进行健康指导，难以从真正意义上帮助其提高运动功能和生活质量。因此，为进一步持续强化骨质疏松压缩性骨折患者的运动功能以及进一步优化其生活质量，本文随机将84例骨质疏松压缩性骨折患者分为对照组与分析组展开了相应的临床研究，现报道如下。

1 资料与方法

1.1 一般资料

随机选择84例本院骨科收治于2017年12月至2020年4月且確诊为骨质疏松压缩性骨折患者的作为研究对象，排除标准：①患有免疫性疾病或血液系统疾病者;②存在视听障碍者或不愿参与本次研究者。纳入标准：①骨密度……