Application evaluation of traditional Chinese medicine continuous nursing based on WeChat in dischargedpatients with lumbar disc herniation
基于微信的中医延续护理在腰椎间盘突出症出院患者中的应用评价

摘要

目的 在腰椎间盘突出症出院患者中探讨在微信基础上使用中医延续护理的应用效果。方法 选取我院接受手术治疗的腰椎间盘突出症患者90名进行分析，研究主题为基于微信的中医延续护理的效果，开展与2021年8月，2022年8月完成本次研究也是所有数据的总结阶段，明确研究对象后，使用计算机相关软件进行相关资料的收集和统计，同时根据护理方法完成分组，研究组采用常规出院健康宣教+微信基础上的中医延续护理，参照组采用常规出院健康宣教，每个小组分被获取45名患者，对患者使用不同方法护理后，观察期间患者是否对用药依从，疼痛情况是否发生改善，焦虑状态是否改善，复查时效果是否明显。结果 统计两组患者出院时的用药依从性、疼痛评分和焦虑状态后进行比较，两组上述指标出院时无明显的差异，不具有统计学意义（P＞0.05），复查时对上述指标重新评价，结果显示两组患者均发生改善，比出院时优势明显，其中研究组的改善效果最佳，差异有统计学意义（P＜0.05）。研究组护理后40例患者康复效果均较好，故康复效果为（88.89%）；参照组患者接受护理后有6例患者康复无效，康复总人数34人，占比（75.56%），由此可见，研究组满意度优势显著（P＜0.05）。结论 在对腰椎间盘突出症患者出院后进行护理的过程中采用中医延续护理，并合理地利用微信完成护理协调，能够有效地提高患者的情绪状态，并促进患者疼痛的缓解和用药依从性地提高，对康复效果的提升有着积极作用，值得借鉴。

Abstract

Objective To explore the application effect of continuous nursing of traditional Chinese medicine on the basis of WeChat in discharged patients with lumbar disc herniation.
Methods: 90 patients with lumbar intervertebral disc herniation who received surgical treatment in our hospital were selected for analysis. The research topic is the effect of continuous nursing of traditional Chinese medicine based on WeChat. In the closed-loop stage, after identifying the research objects, computer-related software was used to collect and count relevant data, and at the same time, grouping was completed according to the nursing method. , 45 patients were obtained from each group. After nursing the patients with different methods, whether the patients complied with the medication, whether the pain condition improved, whether the anxiety state improved, and whether the effect was obvious during the re-examination.
Results: After comparing the medication compliance, pain score and anxiety state of the two groups of patients at discharge, there was no significant difference in the above indicators between the two groups at discharge, and there was no statistical significance (P>0.05). The results of the evaluation showed that both groups of patients improved, which was significantly better than when they were discharged from the hospital. Among them, the improvement effect of the study group was the best, and the difference was statistically significant (P<0.05). After nursing, 40 patients in the study group had good recovery effects, so the recovery effect was (88.89%); 6 patients in the reference group had no recovery after receiving nursing care, and the total number of patients who recovered was 34, accounting for 75.56%. It can be seen that the research group has a significant advantage in satisfaction (P<0.05).
Conclusion  : In the process of nursing patients with lumbar intervertebral disc herniation after discharge, the use of traditional Chinese medicine continuous nursing, and the rational use of WeChat to complete nursing coordination, can effectively improve the patient's emotional state, and promote the pain relief and medication compliance of patients. It has a positive effect on the improvement of the rehabilitation effect and is worth learning from.