为手部骨关节炎患者提供数字化的教育和炼-一项观察性研究
Matthias Michael Walter1,2, Paulina Sirard3, Håkan Nero4
1Science and Research, Physio Insight, Haslach im Kinzigtal, Baden-Württemberg, Germany.
Musculoskeletal care
|July 8, 2023
概括
手部骨关节炎的数字治疗在三个月内显著减少了疼痛和硬. 这项在线课程,包括练习和教育,为管理手部OA症状提供了面对面的护理的可行替代方案.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 骨关节炎研究 骨关节炎研究
背景情况:
- 手部骨关节炎 (OA) 是一个普遍的疾病.
- 第一线治疗通常包括教育和运动.
- 越来越需要可访问和有效的数字健康干预措施.
研究的目的:
- 评估数字交付手部骨关节炎一线治疗方案的疗效.
- 在3个月的干预期后,评估疼痛和手部功能变化.
主要方法:
- 一组379名手部OA参与者完成了为期3个月的数字治疗计划.
- 该计划包括视频指导的练习和基于文本的患者教育.
- 疼痛强度和手部硬是主要结果,使用数值评分表 (NRS) 进行测量. 手部骨关节炎的功能指数 (FIHOA) 是一个次要的结果.
主要成果:
- 观察到疼痛强度显著减少 (平均变化-1.30).
- 手的性也显著下降 (平均变化为-0.81).
- 在手部骨关节炎 (FIHOA) 功能指数得分中没有发现确的变化 (平均变化为0.3).
结论:
- 数字交付的第一线治疗是一种有效的选择,可以减少手部OA患者的疼痛和性.
- 这种方法与传统面对面治疗的有效性保持一致.
- 数字干预代表了一种可行的和可访问的治疗方式,用于管理手部关节炎.
相关概念视频
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Peripheral Artery Disease I: Introduction
10
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
10
Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23
Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22


