首页|接纳与承诺疗法联合核心肌力训练对胸腰椎压缩性骨折患者的影响

接纳与承诺疗法联合核心肌力训练对胸腰椎压缩性骨折患者的影响

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目的:探究接纳与承诺疗法联合核心肌力训练对胸腰椎压缩性骨折患者的影响.方法:选取 2022 年 1 月—2023 年 1 月福建医科大学附属第一医院住院治疗的 80 例胸腰椎压缩性骨折患者作为研究对象,利用随机数表法分为对照组与观察组,每组各 40 例.对照组患者采用常规康复护理模式,观察组患者采用接纳与承诺疗法联合核心肌力训练.比较两组患者的应对方式、心理弹性评分、依从性、创伤后成长评分、腰椎功能以及并发症发生情况.结果:干预前,两组患者应对方式、心理弹性、创伤后成长评分以及腰椎功能比较,差异无统计学意义(P>0.05);干预后,观察组患者心理弹性、创伤后成长评分以及康复锻炼总依从率均高于对照组,差异有统计学意义(P<0.05),腰椎功能评分低于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:接纳与承诺疗法联合核心肌力训练对胸腰椎压缩性骨折患者具有积极影响,能提高患者的心理弹性水平,改变患者的应对方式,提高患者创伤后的成长水平,进而提高患者康复锻炼依从性,减少术后并发症的发生,提高患者的腰椎功能水平.
Effect of Acceptance and Commitment Therapy Combined with Core Strength Training on Patients with Thoracolumbar Compression Fractures
Objective:To investigate the effects of acceptance and commitment therapy combined with core strength training in patients with thoracolumbar compression fractures.Method:80 patients with thoracolumbar spine compression fracture who hospitalized in the First Hospital of Fujian Medical University from January 2022 to January 2023 were selected as the study subjects,and were divided into the control group and the observation group using the random number table method,with 40 cases in each group.The patients in the control group were given conventional rehabilitation care,and the patients in the observation group were given acceptance and commitment therapy combined with core muscle strength training.The coping styles,psychological resilience scores,adherence,post-traumatic growth scores,lumbar spine function,and the occurrence of complications were compared between the two groups.Result:Before the intervention,there were no statistically significant differences in coping styles,psychological resilience,post-traumatic growth scores,and lumbar spine function between the two groups(P>0.05).After the intervention,the psychological elasticity,post-traumatic growth score,and total adherence rate to rehabilitation exercises of the patients in the observation group were higher than those in the control group,the lumbar spine function score was lower than those in the control group,and the complication rate was lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Acceptance and commitment therapy combined with core muscle strength training,which has a positive impact on patients with thoracolumbar compression fractures by increasing the level of psychological resilience,changing the coping styles of patients,increasing the level of post-traumatic growth,which in turn improves patients'adherence to rehabilitation exercises,reduces postoperative complications,and improves the level of patients'lumbar spine function.

Acceptance and commitment therapyCore strength trainingThoracolumbar compression fracturesPost-traumatic growthStyle of coping

王天依

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福建医科大学附属第一医院 福建 福州 350005

接纳与承诺疗法 核心肌力训练 胸腰椎压缩性骨折 创伤后成长 应对方式

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)