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.