数字健康干预在中老年慢性腰痛患者中的应用进展

职业与健康 ›› 2025, Vol. 41 ›› Issue (5): 701-706.

数字健康干预在中老年慢性腰痛患者中的应用进展

章晓菲¹, 刘晓辉², 张颖¹, 聂亚杰¹, 刘雪琴³, 吴亚琪⁴

1.河南中医药大学护理学院,河南郑州 450046;
2.河南省中医院护理部,河南郑州 450053;
3.新乡医学院三全学院护理学院,河南新乡 453003;
4.河南省洛阳正骨医院（河南省骨科医院）护理部,河南郑州 450016

收稿日期:2024-05-24 修回日期:2024-06-04 发布日期:2025-12-17
通信作者: 刘晓辉,教授,主任护师,E-mail：1173652033@qq.com
作者简介:章晓菲,女,在读硕士研究生,研究方向为慢病护理。
基金资助:
河南省中医药文化与管理项目（TCM2023009）; 国家中医临床研究基地科研课题（2021JDZX2032）; 河南省中医药科研课题（2021ZY2113）

Application progress of digital health intervention in middle-aged and elderly patients with chronic low back pain

ZHANG Xiaofei¹, LIU Xiaohui², ZHANG Ying¹, NIE Yajie¹, LIU Xueqin³, WU Yaqi⁴

1. School of Nursing,Henan University of Traditional Chinese Medicine,Zhengzhou,Henan 450046,China;
2. Nursing Department,Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou,Henan 450053,China;
3. School of Nursing,Sanquan College, Xinxiang Medical University,Xinxiang,Henan 453003,China;
4. Nursing Department,Luoyang Orthopedic-Traumatological Hospital of Henan Province（Henan Provincial Orthopedic Hospital）,Zhengzhou,Henan 450016,China

Received:2024-05-24 Revised:2024-06-04 Published:2025-12-17
Contact: LIU Xiaohui,Professor,Chief nurse,E-mail：1173652033@qq.com

摘要/Abstract

摘要： 随着全球人口老龄化,中老年慢性腰痛患者数量逐年增长。数字健康干预是一种将数字化技术与健康领域相结合,以手机通讯软件、电子健康管理平台、可穿戴设备为工具,对患者进行健康护理的一种方式,可帮助减轻患者症状,提高功能活动,促进心理健康,降低医疗成本,拓展护理服务范畴。目前,评估数字健康干预效果及影响因素的相关研究逐渐增多,但以国外研究为主,国内开展较少。本文综述了数字健康干预的干预形式、影响因素和干预效果,分析现存问题并提出相应建议,旨在为中老年慢性腰痛数字健康干预的实践提供参考。

关键词: 数字健康, 中老年, 慢性腰痛, 康复护理

Abstract: With the global aging population,the number of middle-aged and elderly patients suffering from chronic lower back pain is increasing year by year. The digital health intervention is a way of providing health care to patients by combining digital technology with the health field,using mobile communication software,electronic health management platforms,and wearable devices as tools. It plays a crucial role in addressing this trend by helping alleviate patients' symptoms,improving functional activities,promoting mental well-being,reducing healthcare costs,and expanding the scope of nursing services. Currently,there is a growing body of research assessing the effects and influencing factors of digital health interventions,but the majority of studies are conducted abroad,with limited research conducted domestically. This paper reviews the intervention forms,influencing factors,and effects of digital health interventions,analyzes existing issues and proposes corresponding recommendations,aiming to serve as a reference for the practical implementation of digital health interventions for chronic lower back pain in the elderly.

Key words: Digital health, Middle-aged and elderly, Chronic low back pain, Rehabilitation nursing

中图分类号:

R181.3⁺7

章晓菲, 刘晓辉, 张颖, 聂亚杰, 刘雪琴, 吴亚琪. 数字健康干预在中老年慢性腰痛患者中的应用进展. [J]职业与健康, 2025, 41(5): 701-706.

ZHANG Xiaofei, LIU Xiaohui, ZHANG Ying, NIE Yajie, LIU Xueqin, WU Yaqi. Application progress of digital health intervention in middle-aged and elderly patients with chronic low back pain. [J]OCCUPATION AND HEALTH, 2025, 41(5): 701-706.

参考文献

[1] 梁辰,李水清.慢性原发性腰痛诊疗研究进展[J].中国疼痛医学杂志,2022,28(6):449-453.
[2] 陈栋,陈春慧,胡志超,等.中国成人腰痛流行病学的系统评价[J].中国循证医学杂志,2019,19(6):651-655.
[3] HOY D,BAIN C,WILLIAMS G,et al.A systematic review of the global prevalence of low back pain[J].Arthritis Rheum,2012,64(6):2028-2037.
[4] GBD 2019 Diseases And Injuries Collaborators.Global burden of 369 diseases and injuries in 204 countries and territories,1990-2019:A systematic analysis for the Global Burden of Disease Study 2019BD 2019 Diseases And Injuries Collaborators.Global burden of 369 diseases and injuries in 204 countries and territories,1990-2019:A systematic analysis for the Global Burden of Disease Study 2019[J].Lancet,2020,396(10258):1204-1222.
[5] DE QUEIROZ Z B,DE BRITTO ROSA N M,PEREIRA D S,et al.Inflammatory mediators and the risk of falls among older women with acute low back pain:data from Back Complaints in the Elders(BACE)-Brazil[J].Eur Spine J,2020,29(3):549-555.
[6] World Health Organization.WHO guideline recommendations on digital interventions for health system strengthening[M].Geneva:World Health Organization,2019:1.
[7] PIETTE J D,NEWMAN S,KREIN S L,et al.Patient-centered pain care using artificial intelligence and mobile health tools:A randomized comparative effectiveness trial[J].JAMA Intern Med,2022,182(9):975-983.
[8] 姚自强,秦宁,石双姣,等.数字健康技术在高血压患者药物管理中的应用进展[J].中华护理杂志,2023,58(11):1403-1409.
[9] 张媛,郭锦丽.沉浸式虚拟现实技术在创面操作性疼痛管理中的应用进展[J].中华护理杂志,2023,58(2):243-249.
[10] YALFANI A,ABEDI M,RAEISI Z.Effects of an 8-week virtual reality training program on pain,fall risk,and quality of life in elderly women with chronic low back pain:Double-blind randomized clinical trial[J].Games Health J,2022,11(2):85-92.
[11] YALFANI A,ABEDI M,RAEISI Z,et al.The effects of virtual reality training on postural sway and physical function performance on older women with chronic low back pain:A double-blind randomized clinical trial[J].J Back Musculoskelet Rehabil,37(3):761-770.
[12] STAMM O,DAHMS R,REITHINGER N,et al.Virtual reality exergame for supplementing multimodal pain therapy in older adults with chronic back pain:A randomized controlled pilot study[J].Virtual Real,2022, 26(4):1291-1305.
[13] ZADRO J R,SHIRLEY D,SIMIC M,et al.Video-game-based exercises for older people with chronic low back pain:A randomized controlledtable trial(GAMEBACK)[J].Phys Ther,2019,99(1):14-27.
[14] MONTEIRO-JUNIOR R S,DE SOUZA C P,LATTARI E,et al.Wii-workouts on chronic pain,physical capabilities and mood of older women:A randomized controlled double blind trial[J].CNS Neurol Disord Drug Targets,2015,14(9):1157-1164.
[15] ARENSMAN R,KLOEK C,PISTERS M,et al.Patient perspectives on using a smartphone app to support home-based exercise during physical therapy treatment:Qualitative study[J].JMIR Hum Factors,2022, 9(3):e35316.
[16] SVENDSEN M J,NICHOLL B I,MAIR F S,et al.One size does not fit all:Participants' experiences of the selfBACK app to support self-management of low back pain-a qualitative interview study[J].Chiropr Man Therap,2022,30(1):41.
[17] YIP Y B,HO S C,CHAN S G.Socio-psychological stressors as risk factors for low back pain in Chinese middle-aged women[J].J Adv Nurs, 2001,36(3):409-416.
[18] SORKPOR S K,MONTERO-HERNANDEZ S,MIAO H Y,et al.Assessing the impact of preferred web app-based music-listening on pain processing at the central nervous level in older black adults with low back pain:An fNIRS study[J].Geriatr Nurs,2023,54:135-143.
[19] PARK K H,SONG M R.Comparative analysis of pain,muscle strength, disability,and quality of life in middle-aged and older adults after web video lower back exercise[J].Comput Inform Nurs,2022,40(3):170-177.
[20] BROOKS A K,MILLER JR D P,FANNING J T,et al.A pain ehealth platform for engaging obese,older adults with chronic low back pain in nonpharmacological pain treatments:Protocol for a pilot feasibility study[J].JMIR Res Protoc,2020,9(1):e14525.
[21] SUMAN A,SCHAAFSMA F G,BAMARNI J,et al.A multimedia campaign to improve back beliefs in patients with non-specific low back pain:A process evaluation[J].BMC Musculoskelet Disord,2017,18(1):200.
[22] HEAPY A A,HIGGINS D M,GOULET J L,et al.Interactive voice response-based self-management for chronic back pain:the copes noninferiority randomized trial[J].JAMA Intern Med,2017,177(6):765-773.
[23] SANABRIA-MAZO J P,COLOMER-CARBONELL A,GANDARA-URRUTIA N,et al.Experiences of patients with chronic low back pain plus comorbid depressive symptoms in a videoconference group acceptance and commitment therapy or behavioral activation treatment for depression:A qualitative study[J].Disabil Rehabil,2023:1-12.
[24] LILJE S C,OLANDER E,BERGLUND J,et al.Experiences of older adults with mobile phone text messaging as reminders of home exercises after specialized manual therapy for recurrent low back pain:A qualitative study[J].JMIR Mhealth Uhealth,2017,5(3):e39.
[25] DO NASCIMENTO SANTOS A E,LIMA NUNES A C,MAXIMO PEREIRA L S,et al.Physical activity supported by low-cost mobile technology for back pain(PAT-Back) to reduce disability in older adults: Results of a feasibility study[J].Phys Ther,2024,104(2):pzad153.
[26] MIN Y Q,XU P.Curative effects of remote home management combined with feng's spinal manipulation on the treatment of elderly patients with lumbar disc herniation[J].J Healthc Eng,2022,2022:1420392.
[27] 龚凤翔,唐发波,唐朝,等.格林模式结合微信平台对老年腰背痛患者自我护理能力和康复知识、态度、行为的影响[J].中文科技期刊数据库(全文版)医药卫生,2023(10):21-24.
[28] VAN SCHOOTEN D K,PERRAM A.Walking without pain:Piloting a digital program for people 50 years and over experiencing chronic low back pain[EB/OL].(2023-12-31)[2024-05-07].https://trialsearch.who.int/Trial2.aspx?TrialID=ACTRN12623001266651.
[29] SOLAR C,HALAT A M,MACLAEN R R,et al.Predictors of engagement in an internet-based cognitive behavioral therapy program for veterans with chronic low back pain[J].Transl Behav Med,2021,11(6):1274-1282.
[30] MOSHE I,TERHORST Y,PAGANINI S,et al.Predictors of dropout in a digital intervention for the prevention and treatment of depression in patients with chronic back pain:Secondary analysis of two randomized controlled trials[J].J Med Internet Res,2022,24(8):e38261.
[31] SVENDSEN M J,NICHOLL B I,MAIR F S,et al.One size does not fit all:Participants' experiences of the selfBACK app to support self-management of low back pain-a qualitative interview study[J].Chiropr Man Therap,2022,30(1):41.
[32] 纪泉,易端,张湘瑜,等.老年人慢性肌肉骨骼疼痛管理中国专家共识(2023)[J].中华老年医学杂志,2023,42(10):1141-1152.