Effect of continuous nursing based on wechat platform on postoperative rehabilitation of patients with lumbar disc herniation

Jpn J Nurs Sci. 2021 Apr;18(2):e12382. doi: 10.1111/jjns.12382. Epub 2020 Sep 28.

Abstract

Objective: The present randomized controlled trial was conducted to investigate the effect of continuous nursing based on wechat platform on postoperative rehabilitation of patients with lumbar disc herniation (LDH).

Methods: A total of 95 patients with LDH who underwent surgery in Suzhou BenQ Medical Center from March 2, 2016 to June 23, 2018 were enrolled and randomly divided into the control group (routine continuous nursing) and the study group (continuous nursing based on wechat platform). During the follow-up, the patients' compliance and the effectiveness were recorded. The 36-Item Short-Form Health Survey scale (SF-36 score) was used to evaluate quality of life. The spinal nerve function was evaluated with Japanese Orthopedics Association (JOA) score while the lumbar function was determined with Oswestry dysfunction index (ODI).

Results: There were 48 patients in the control group and 47 patients in the study group. The results showed that the compliance rate of the study group was 89.36%, significantly higher than that of the control group (60.42%). The effective rate of the study group was 95.74%, significantly higher than that of the control group (81.25%). Further, continuous nursing based on wechat platform brought more obvious improvement in the SF-36 scores as well as the JOA score and ODI.

Conclusion: The compliance rate and the effectiveness rate of patients received continuous nursing based on wechat platform were higher than those of patients who received routine continuous nursing, which further brought more obvious improvement in the quality of life as well as the JOA scores and ODI.

Keywords: continuous nursing; lumbar disc herniation; wechat platform.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Humans
  • Intervertebral Disc Degeneration*
  • Intervertebral Disc Displacement* / surgery
  • Lumbar Vertebrae / surgery
  • Quality of Life
  • Treatment Outcome