Effect of an Internet-Hospital-Community-Home Linked Health Management Model in Patients with Osteoporotic Vertebral Compression Fractures Who Received Conservative Treatment: A Quasi-Experimental Study

Authors

  • Tingye Hu Department of Rehabilitation Medical Division, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China Author
  • Gan Zhang Department of General Surgery, Anhui Hanbo Group Hospital, Chuzhou 239001, Anhui, China Author
  • Huiru Wang Department of Disease Prevention and Health Management, The Second People’s Hospital of Chuzhou, Anhui Province Author
  • Hong Ye Department of Nursing Administration, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China Author
  • Chengling An Department of Imaging, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China Author
  • Xiuping Hu Department of Pharmacy, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China Author
  • Ping Huang Department of Nursing, Chuzhou city Vocational College, Chuzhou 239001, Anhui, China Author

DOI:

https://doi.org/10.47363/JIMRR/2023(2)127

Keywords:

Osteoporotic Vertebral Compression Fractures, Conservative Treatment, Internet-Hospital-Community-Home Linked Health Management Model, Outcomes

Abstract

Objective: To evaluate the effect of an internet-hospital-community-home (IHCH) linked health management model in the management of patients with osteoporotic vertebral compression fractures (OVCF) who undergoing conservative treatment.

Methods: This quasi-experimental study enrolled patients with OVCF who undergoing conservative treatment and visited to xx hospital between April 2022 and September 2022. Patients were divided into two group based on their time of visit to receive the IHCH linked health management (IHCH group) or routine management (control group). The outcomes were activities of daily living (ADL) scores, quality of life [measured by SF-36 Health Survey (SF36) scores], functional disability [measured by Roland-Morris Disability Questionnair (RMDQ) score], pain assessment [measured by Visual Analog Scale (VAS) score] at acute stage, 1 month, 3-month, 6 months after intervention; and pressure injuries, medication adherence, and health service satisfaction at 6 months after intervention.

Results: Sixty-two patients completed the follow-up, with 31 cases in each group. The baseline information between the two groups were comparable (all P>0.05). After intervention, repeated measures ANOVA showed that the ADL (P time < 0.001, P group = 0.045, P time x group < 0.001), SF-36 (P time < 0.001, P group = 0.008, P time x group < 0.001), and RMDQ scores (P time < 0.001, P group = 0.014, P time x group < 0.001) in IHCH group were significantly improved compared to the control group, which were interacted with time. Furthermore, at the 6-month follow-up, the IHCH group exhibited significantly lower incidence of pressure injuries [2 (6.67) vs 8 (26.67), P = 0.038], higher medication adherence [16 (53.33) vs 9(30.00), P = 0.031], and greater satisfaction
with health services [Total satisfaction: 27 (90.00) vs 19 (63.33), P = 0.015] compared to the control group.

Conclusion: The IHCH linked health management model might improve the effectiveness of conservative treatment for OVCF patients, reduce the occurrence of complications, and enhance satisfaction with health services.

Author Biographies

  • Tingye Hu, Department of Rehabilitation Medical Division, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

    Department of Rehabilitation Medical Division, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

  • Gan Zhang, Department of General Surgery, Anhui Hanbo Group Hospital, Chuzhou 239001, Anhui, China

    Department of General Surgery, Anhui Hanbo Group Hospital, Chuzhou 239001, Anhui, China

  • Huiru Wang, Department of Disease Prevention and Health Management, The Second People’s Hospital of Chuzhou, Anhui Province

    Department of Disease Prevention and Health Management, The Second People’s Hospital of Chuzhou, Anhui Province

  • Hong Ye, Department of Nursing Administration, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

    Department of Nursing Administration, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

  • Chengling An, Department of Imaging, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

    Department of Imaging, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

  • Xiuping Hu, Department of Pharmacy, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

    Department of Pharmacy, Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Municipal First People’s Hospital, Chuzhou 239001, Anhui, China

  • Ping Huang, Department of Nursing, Chuzhou city Vocational College, Chuzhou 239001, Anhui, China

    Department of Nursing, Chuzhou city Vocational College, Chuzhou 239001, Anhui, China

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Published

2023-12-08

Issue

Vol. 2 No. 4 (2023): Volume 2 Issue 4

Section

Articles