首页|跨理论模型对脊髓型颈椎病术后患者健康促进行为的应用效果

跨理论模型对脊髓型颈椎病术后患者健康促进行为的应用效果

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目的:探讨跨理论模型(transtheoretical model,TTM)在脊髓型颈椎病(CSM)术后患者健康促进行为的应用效果.方法:选取 2020 年 1 月—2021 年 10 月在福建医科大学附属协和医院神经外科行手术治疗的CSM患者 86 例作为研究对象,按照入院日期的单双号分为观察组(44 例)和对照组(42 例),即入院日期的奇数日为观察组,偶数日为对照组.对照组采用常规健康行为干预,观察组在对照组的基础上实施为期6个月的基于TTM的健康行为管理,采用健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)、生活质量指数(QL-index)、颈椎功能障碍指数(NDI)对两组患者进行健康行为、生活质量和颈椎功能等方面的比较.结果:术后 3、6 个月,观察组的健康行为和生活质量分值均高于对照组,差异均有统计学意义(P<0.05);术后 3 个月,观察组的NDI与对照组相比,差异无统计学意义(P>0.05);术后 6 个月,观察组的NDI低于对照组,差异有统计学意义(P<0.05).结论:应用TTM的健康管理干预,可以促进CSM术后患者健康行为的建立和维持,提高患者的自我管理能力和生活质量水平,有效促进颈椎功能的恢复.
Application Effect on Health Promotion Behavior of Patients with Cervical Spondylotic Myelopathy after Operation by Transtheoretical Model
Objective:To investigate the application effect of transtheoretical model(TTM)on health promotion behavior of patients with cervical spondylotic myelopathy(CSM)after operation.Method:A total of eighty-six patients with CSM who underwent surgical treatment in the Department of Neurosurgery,Fujian Medical University Union Hospital from January 2020 to October 2021 were selected as the study subjects,and divided into an observation group(44 cases)and a control group(42 cases)based on the single and even numbers for admission date,with odd numbered days as the observation group and even numbered days as the control group.The control group were reteived the conventional health behavior intervention,the observation group were implemented the TTM based on health behavior management for 6 months on the basis of the control group.The health-promoting lifestyle profile-Ⅱ(HPLP-Ⅱ),quality of life index(QL-index),and neck dysfunction index(NDI)were used to compare the health behavior,quality of life,and cervical function between the two groups.Result:At 3 and 6 months after operation,the scores of health behavior and quality of life in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).At 3 months after operation,there was no statistically significant difference in NDI between the observation group and the control group(P>0.05);at 6 months after operation,the NDI in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Health management intervention with TTM can promote the establishment and maintenance of health behavior in postoperative patients with CSM,improve self-management ability and quality of life of patients after operation,and effectively promote the recovery of cervical spine function.

Transtheoretical modelCervical spondylotic myelopathyHealth promotion

王靖、张莉、林碧华、钟桂钦

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福建医科大学附属协和医院神经外科 福建 福州 350001

跨理论模型 脊髓型颈椎病 健康促进

2021年福建省卫生健康科技计划项目

2021TG006

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(5)
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