CAJ | 학술논문

目的：探讨功能锻炼日志联合多媒体技术对强直性脊柱炎患者功能锻炼的效果。方法将61例强直性脊柱炎患者采用随机数字表法分为研究组31例与对照组30例，两组患者均接受相同的药物治疗方案，研究组采用多媒体授课及视频引导下的同步功能锻炼方式，锻炼完毕记录锻炼日志；对照组进行传统的健康教育及功能锻炼指导。比较两组干预前和干预后3个月的脊柱活动度（ BASMI评分）、Bath强直性脊柱炎功能指数（BASFI）评价和功能锻炼依从性。结果干预前研究组的BASMI评分和BASFI评分分别为（4．6±1．8），（47．67±17．31）分，干预后分别降至（2．6±1．6），（16．72±12．91）分，改善程度均优于对照组，两组干预后比较差异有统计学意义（ t值分别为3．125，3．213；P＜0．01）。干预3个月后，研究组的依从性良好率为83．9％，对照组为46．7％，差异有统计学意义（χ2＝9．348，P ＜0．01）。结论锻炼日志联合多媒体技术应用于强直性脊柱炎患者功能锻炼指导，有利于患者掌握锻炼方法，改善患者脊柱活动度和机体功能。
목적：탐토공능단련일지연합다매체기술대강직성척주염환자공능단련적효과。방법장61례강직성척주염환자채용수궤수자표법분위연구조31례여대조조30례，량조환자균접수상동적약물치료방안，연구조채용다매체수과급시빈인도하적동보공능단련방식，단련완필기록단련일지；대조조진행전통적건강교육급공능단련지도。비교량조간예전화간예후3개월적척주활동도（ BASMI평분）、Bath강직성척주염공능지수（BASFI）평개화공능단련의종성。결과간예전연구조적BASMI평분화BASFI평분분별위（4．6±1．8），（47．67±17．31）분，간예후분별강지（2．6±1．6），（16．72±12．91）분，개선정도균우우대조조，량조간예후비교차이유통계학의의（ t치분별위3．125，3．213；P＜0．01）。간예3개월후，연구조적의종성량호솔위83．9％，대조조위46．7％，차이유통계학의의（χ2＝9．348，P ＜0．01）。결론단련일지연합다매체기술응용우강직성척주염환자공능단련지도，유리우환자장악단련방법，개선환자척주활동도화궤체공능。
Objective To investigate the effect of daily log combined with multimedia technology on functional exercise in patients with ankylosing spondylitis .Methods A total of 61 patients were randomly assigned to experimental group ( 31 ) and control group ( 30 ) .Two groups of patients accept the same drug therapy.The patients in the experimental group underwent multimedia course and synchronous training of function excise guided by simultaneous video , and they were requested to write daily log about functional exercise .The patients in the control group took use of conventional health education and conventional functional exercise guidance .We assessed patients by Bath ankylosing spondylitis functional index ( BASMI ) , Bath ankylosing spondylitis metrology index ( BASFI ) and functional exercises compliance at pre-and post-treatment three months.Results In the experimental group, BASMI score decreased from (4.6 ±1.8) to (2.6 ±1.6) and BASFI score decreased from (47.67 ±17.31) to (16.72 ±12.91).In the control group BASMI score reduced from (4.7 ±1.7) to (3.5 ±1.3) and BASFI score declined from (48.01 ±16.86) to (23.83 ± 13.03).The difference of BASMI score and BASFI score between these two groups were significant at post -treatment (t=3.125, 3.213;P<0.01).The excellent rates of functional exercises compliance were indifferent between two groups before intervention , but it increased to 83.9% in the experimental group and the number was 46.7%in the control group at three month post-treatment (P<0.01).Conclusions Daily log combined with multimedia technology applies for patients with ankylosing spondylitis contributing them to master the method of functional exercise , and the spinal motion and body function can be significantly improved after three months′intervention .