Effect of Cognitive Behavioral Intervention Combined with Early Functional Exercise on the Level of Kinetophobia in Patients with Lumbar Disc Herniation After Surgery
Objective:To investigate the effect of cognitive behavioral intervention combined with early functional exercise on the level of kinetophobia in patients with lumbar disc herniation(LDH)after surgery.Methods:70 cases of LDH patients in the hospital from January 2022 to January 2023 were divided into control group(n=35)and observation group(n=35).The control group received conventional intervention and functional exercise,and the observation group received cognitive behavioral intervention combined with early functional exercise.The levels of kinetophobia,lumbar rehabilitation and self-efficacy of the two groups were compared.Results:After intervention,the scores of the moophobia Scale(TSK)and the Fear Avoidance Belief Questionnaire(FABQ)in the study group were lower than those in the control group,and the differences were statistically significant(t=3.972,4.372;P＜0.05).After intervention,the Japanese Orthopaedic Association evaluation treatment score(JOA)score of the observation group was higher than that of the control group,and the difference was statistically significant(t=-2.528,-2.307,-2.404,2.788;P＜0.05).After intervention,the self-efficacy rating scale(CDSES)scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=-2.461,-3.020,-5.144;P＜0.05).Conclusion:Cognitive behavioral intervention combined with early functional exercise can reduce the level of motophobia,promote lumbar rehabilitation,and improve self-efficacy in patients after LDH surgery.
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