Cox健康行为互动模式联合核心肌群训练在中青年腰椎间盘突出症病人术后的应用效果
Effects of Cox health behavior interaction model combined with core muscle training on postoperative lumbar disc herniation in young and middle-aged patients
洪丽娟 1董艳 2徐海珍 1王洪义1
作者信息
- 1. 安徽医科大学附属阜阳医院骨科,安徽阜阳 236000
- 2. 安徽医科大学附属阜阳医院护理部,安徽阜阳 236000
- 折叠
摘要
目的:探讨Cox健康行为互动模式联合核心肌群训练在中青年腰椎间盘突出症病人术后的应用效果.方法:选取行内镜下腰椎髓核切除术的腰椎间盘突出症病人为研究对象,随机分为对照组和观察组,各40例.对照组采用常规康复训练方法,观察组采用Cox健康行为互动模式联合核心肌群训练方案,比较2组病人干预前后疼痛程度、腰椎功能和慢性病自我管理行为.结果:干预后1个月和3个月2组病人疼痛视觉模拟法(VAS)均明显降低(P＜0.01),且观察组均低于对照组(P＜0.05和P＜0.01).干预后1个月和3个月2组病人日本矫形外科协会评分(JOA)4个维度及总分随时间变化均明显升高(P＜0.01),且除膀胱功能外,其余维度及总分观察组均高于对照组(P＜0.05～P＜0.01).干预后观察组病人慢性病自我管理量表(CDSMS)3个维度及总分随时间变化均明显升高(P＜0.01),对照组病人运动管理、认知症状管理维度及总分随时间变化均明显升高(P＜0.01),且干预后观察组3个维度及总分均高于对照组(P＜0.01).结论:Cox健康行为互动模式联合核心肌群训练对中青年腰椎间盘突出症病人术后恢复效果优于常规康复方法.
Abstract
Objective:To explore the application effects of Cox health behavior interaction model combined with core muscle group training in postoperative patients with lumbar disc herniation in middle-aged and young adults.Methods:The lumbar disc herniation patients treated with endoscopic lumbar discectomy were randomly divided into the control group and observation group(40 cases in each group).The control group received routine rehabilitation training methods,while the observation group received the Cox health behavior interaction model combined with core muscle group training program.The pain level,lumbar spine function,and chronic disease self-management behavior in two groups were compared before and after intervention.Results:After 1 month and 3 months of intervention,the visual analogue scale(VAS)of pain in two patients significantly reduced(P＜0.01),and which in the observation group was lower than that in control group(P＜0.05 and P＜0.01).After 1 month and 3 months of intervention,the four dimensions and total score of the Japan Orthopaedic Association(JOA)scores in two groups of patients significantly increased with time(P＜0.01),and except for bladder function,the other dimensions and total scores in the observation group were higher than those in control group(P＜0.05 to P＜0.01).After intervention,the three dimensions and total scores of the chronic disease self-management scale(CDSMS)in the observation group significantly increased with time(P＜0.01),while the dimensions and total scores of exercise management and cognitive symptom management in the control group significantly increased with time(P＜0.01).Moreover,after intervention,the three dimensions and total scores in the observation group were higher than those in control group(P＜0.01).Conclusions:The Cox health behavior interaction model combined with core muscle group training has a better postoperative recovery effects on middle-aged and young patients with lumbar disc herniation compared with the conventional rehabilitation method.
关键词
腰椎间盘突出症/中青年/核心肌群训练/Cox健康行为互动模式Key words
lumbar disc herniation/young and middle-aged/core muscle training/Cox health behavior interaction model引用本文复制引用
出版年
2024
NETL
NSTL
万方数据