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贝克认知疗法联合分期康复训练对腰椎间盘突出症手术患者的影响

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目的:探究贝克认知疗法联合分期康复训练对腰椎间盘突出症手术患者的影响。方法:选取2022年6月—2023年10月福建医科大学附属第一医院收治的90例腰椎间盘突出症手术患者。根据随机数表法将其分为观察组(n=45)和对照组(n=45)。对照组给予常规护理,观察组在对照组基础上给予贝克认知疗法联合分期康复训练。比较两组护理前后腰椎功能,护理前和出院时心理弹性、希望水平、恐动症程度及康复依从性。结果:护理后,两组日本骨科协会腰椎(JOA)评分升高,观察组JOA评分高于对照组,差异有统计学意义(P<0。001)。出院时,两组Herth希望量表(HHI)评分及心理弹性量表(CD-RISC)评分均升高,观察组HHI评分及CD-RISC评分均高于对照组,差异有统计意义(P<0。05)。出院时,两组恐动症评估量表(TSK)评分降低,观察组TSK评分低于对照组,康复锻炼依从性评分高于对照组,差异有统计学意义(P<0。05)。结论:贝克认知疗法联合分期康复训练对腰椎间盘突出症手术患者具有积极影响,可以减轻患者的恐动症程度,提高患者的希望水平和心理弹性,促进患者术后康复锻炼依从性的提升,进而促进患者腰椎功能改善。
Effects of Beck's Cognitive Therapy Combined with Staged Rehabilitation Training on Patients Undergoing Lumbar Disc Herniation Surgery
Objective:To explore the effects of Beck's cognitive therapy combined with staged rehabilitation training on patients undergoing lumbar disc herniation surgery.Method:A total of 90 patients undergoing lumbar disc herniation surgery admitted in the First Affiliated Hospital of Fujian Medical University from June 2022 to October 2023 were selected.They were divided into observation group (n=45) and control group (n=45) according to random number table method.The control group was given routine nursing,and the observation group was given Beck's cognitive therapy combined with staged rehabilitation training on the basis of the control group.Lumbar function before and after nursing,mental resilience,hope level,degree of kinesophobia before nursing and at discharge and rehabilitation exercise compliance were compared between the two groups.Result:After nursing,the Japanese Orthopaedic Association lumbar spine (JOA) score increased in both groups,and the JOA score in the observation group was higher than that in the control group,the difference was statistically significant (P<0.001).At discharge,the scores of Herth hope scale (HHI) and psychological resilience scale (CD-RISC) in both groups were increased,and the HHI and CD-RISC scores in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05).At discharge,kinesiophobia assessment scale (TSK) scores of the two groups were decreased,the TSK score of the observation group was lower than that of the control group,and the rehabilitation exercise compliance score was higher than that of the control group,the differences were statistically significant (P<0.05).Conclusion:Beck's cognitive therapy combined with staged rehabilitation training has a positive effect on patients undergoing lumbar disc herniation surgery,which can reduce the degree of kinesiophobia of patients,improve the hope level and psychological resilience of patients,and promote the improvement of postoperative rehabilitation exercise compliance of patients,so as to promote the improvement of lumbar spine function of patients.

Beck's cognitive therapyStaged rehabilitation trainingLumbar disc herniationKinesiophobia assessment scaleCompliance

吴运娟、林晶

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福建医科大学附属第一医院 福建 福州 350004

贝克认知疗法 分期康复训练 腰椎间盘突出症 恐动症评估量表 依从性

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(29)