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正强化理论护理对颈椎病患者康复效果的影响

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目的 分析正强化理论护理对颈椎病患者康复效果的影响。方法 选取 2021 年 1 月—2023 年 12 月在聊城市中医医院脊柱骨科进行手术治疗的 100 例颈椎病患者为研究对象。基于入院顺序的差异性，分别将先后入院的各 50 例患者分为对照组与观察组。对照组予以常规护理，观察组在此基础上予以正强化理论护理干预。比较 2 组治疗总配合度及干预前后颈椎功能障碍指数(neck disability index，NDI)评分、视觉模拟评分法(visual analog scale，VAS)评分、汉密尔顿抑郁量表(Hamilton depression scale，HAMD)评分、汉密尔顿焦虑量表(Hamilton anxiety scale，HAMA)评分、生活质量简表-74(quality of life-74，QOL-74)评分。结果 观察组治疗总配合度为 96。00%，高于对照组的 80。00%，差异有统计学意义(P＜0。05)。干预后，观察组NDI评分、VAS评分、HAMD评分、HAMA评分分别为(9。05±1。13)分、(2。07±0。25)分、(6。31±0。68)分、(6。44±0。54)分，低于对照组的(17。48±3。01)分、(4。11±0。58)分、(10。48±1。57)分、(9。62±1。38)分，差异有统计学意义(P＜0。05)。干预后，观察组社会功能、心理状态、躯体疼痛、生理状态评分分别为(83。27±5。36)分、(83。63±5。51)分、(83。18±5。60)分、(83。79±5。35)分，高于对照组的(72。53±3。41)分、(72。77±3。24)分、(72。63±3。24)分、(72。31±3。89)分，差异有统计学意义(P＜0。05)。结论 在颈椎病患者术后康复治疗中采用正强化理论护理干预可以给患者的治疗配合度、颈椎病功能及疼痛程度、负性心理状态、生活质量均带来积极影响。
Effect of Positive Reinforcement Theory Nursing on the Rehabilitation of Cervical Spondylosis Patients
Objective To analyze the effect of positive reinforcement theory nursing on the rehabilitation of cervical spondylosis patients.Methods A total of 100 patients with cervical spondylosis who underwent surgery in the department of spinal orthopedics,Liaocheng Traditional Chinese Medicine Hospital from January 2021 to December 2023 were selected as the study objects.Based on the difference of admission order,a total of 50 patients who were admitted to the hospital successively were divided into the control group and the observation group.The control group received routine nursing and the observation group received positive reinforcement theory nursing intervention on this basis.The total cooperationy,neck disability index(NDI)score,visual analog scale(VAS),Hamilton depression scale(HAMD)score,Hamilton anxiety scale(HAMA),quality of life-74(QOL-74)score before and after intervention were compared between the two groups.Results The total cooperation of the observation group was 96.00%,higher than that 80.00%of the control group,and the difference was statistically significant(P<0.05).After intervention,NDI score,VAS score,HAMD score and HAMA score in the observation group were(9.05±1.13)points,(2.07±0.25)points,(6.31±0.68)points and(6.44±0.54)points,which were lower than(17.48±3.01)points,(4.11±0.58)points,(10.48±1.57)points and(9.62±1.38)points in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of social function,psychological state,physical pain and physiological state in the observation group were(83.27±5.36)points,(83.63±5.51)points,(83.18±5.60)points and(83.79±5.35)points,which were higher than(72.53±3.41)points,(72.77±3.24)points,(72.63±3.24)points,(72.31±3.89)points in the control group,and the differences were statistically significant(P<0.05).Conclusion Positive reinforcement theory nursing intervention in postoperative rehabilitation treatment of cervical spondylosis patients can bring positive effects on patients'treatment compliance,cervical spondylosis function and pain degree,negative psychological state and quality of life.

positive reinforcement theory nursing interventioncervical spondylosispostoperative rehabilitation treatmentnegative psychologyquality of lifeapplication effect

侯晓娟、谢英杰、方圣杰

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聊城市中医医院脊柱骨科,山东 聊城 252000

聊城市中医医院骨创伤科,山东 聊城 252000

正强化理论护理干预 颈椎病 术后康复治疗 负性心理 生活质量 应用效果

2024

10.3969/j.issn.1674-9316.2024.23.043

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子：1.374
ISSN：1674-9316
年,卷(期)：2024.15(23)