腰椎间盘突出症患者牵引治疗后实施自我管理的效果与评价
Effect of self-mangement on patients with lumbar disc prolapse after traction therapy
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摘要: 目的:探讨腰椎间盘突出症患者牵引治疗后实施自我管理的效果。方法:腰椎间盘突出症经牵引治疗患者134例,随机分为干预组和对照组各67例。对照组采用常规健康教育,干预组实施自我管理,2组患者分别于就诊时及就诊3个月后和6个月后进行问卷调查,评价2组患者的临床症状与自我管理能力水平。结果:实施自我管理后,患者临床症状得到显著改善,干预组就诊3个月后和6个月后临床症状评分均明显优于对照组(P<0.01);干预组患者就诊3个月后和6个月后自我管理能力评分均高于对照组(P<0.05～P<0.01)。结论:自我管理能够提高腰椎间盘突出症经牵引治疗患者的自我管理能力,改善患者临床症状。Abstract: Objective: To explore the effects of self-management on the patients with lumbar disc prolapse after traction therapy.Methods: One hundred and thirty-four patients with lumbar disc prolapse after traction therapy were randomly divided into the control group and intervention group(67cases each group).The control group were taught with conventional health,the intervention group were treated with self-management.The clinical symptoms and self-management levels in two groups were evaluated by questionnaire at seeing doctor after 3 and 6 months of seeing doctor.Results: The clinical symptoms of the patients treated with self-management were markedly improved.The scores of clinical symptoms and self-management abilities in intervention group were significantly higher than those in control group after 3 and 6 months of seeing doctor(P<0.05 to P<0.01).Conclusions: The treatment of the patients with lumbar disc prolapse with self-management can improve their self-management abilities and clinical symptoms.
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