Application Effect of Cognitive Behavioral Intervention Combined with Phased Rehabilitation Training in Patients with Ankylosing Spondylitis
Objective:To explore the effects of cognitive behavioral intervention combined with phased rehabilitation training in patients with ankylosing spondylitis.Method:A total of 126 patients with ankylosing spondylitis admitted to the Second Affiliated Hospital of the University of South China from June 2021 to January 2023 were selected and they were divided into experimental group and reference group according to the random number table method.Patients in the reference group were given routine nursing measures,and patients in the experimental group were given cognitive behavioral intervention combined with phased rehabilitation training.The limb function,quality of life,rehabilitation indicators and self-management ability of the two groups were observed and compared before and after intervention.Result:Before intervention,there were no significant differences in limb function,quality of life and rehabilitation indexes between the two groups(P>0.05).After intervention,limb function was significantly improved in both groups,and the scores of Bath ankylosing spondylitis disease activity index(BASDAI)and Bath ankylosing spondylitis function index(BASFI)in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the quality of life of patients in both groups was significantly improved,and the scores of physical function,psychological function,health status and social function of patients in the experimental group were significantly higher than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the rehabilitation indexes in both groups was improved,and the degree of chest enlargement and Schober test distance in the experimental group were higher than those in the reference group,and the distance of occipital wall and morning stiffness time in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the scores of diet management,compliance management,symptom management and daily life management in the experimental group were higher than those in the reference group,the differences were statistically significant(P<0.05).Conclusion:Cognitive behavioral intervention combined with phased rehabilitation training can improve the limb function,improve the quality of life,promote the rehabilitation of patients and improve the self-management ability of patients with ankylosing spondylitis.
Cognitive behavior interventionPhased rehabilitation trainingAnkylosing spondylitisLimb functionQuality of life