基于自我调节常识模型的护理干预方案对中老年腰椎间盘突出症病人术后恐动症的影响

    Impact of nursing intervention program based on common-sense model of self-regulation on kinesiophobia in middle-aged and elderly patients with lumbar disc herniation after surgery

    • 摘要:
      目的 探讨基于自我调节常识模型的护理干预方案对中老年腰椎间盘突出症病人术后恐动症的影响。
      方法 选取100例中老年腰椎间盘突出症术后恐动症病人作为研究对象。采用随机数字表法将病人分为干预组和对照组,各50例。对照组采用常规护理,干预组在常规护理的基础上采用基于自我调节模型的护理干预方案进行干预。比较2组病人干预前、出院时、术后1个月及术后3个月的疼痛数字评分法(NRS)、恐动症坦帕量表(TSK)、功能锻炼依从性量表(EARS)以及日本骨科协会下腰痛评分量表(JOA)的评分情况。
      结果 干预组病人在出院时、术后1个月、术后3个月的NRS和TSK评分均低于对照组(P < 0.05~P < 0.01),EARS评分和JOA评分均明显高于对照组(P < 0.01)。
      结论 基于自我调节常识模型的护理干预方案能够减轻中老年腰椎间盘突出症术后病人的疼痛,缓解其运动恐惧,提高其锻炼依从性,并有效改善其躯体功能。

       

      Abstract:
      Objective To explore the impact of the nursing intervention program based on the common-sense model of self-regulation on kinesiophobia in middle-aged and elderly patients with lumbar disc herniation after surgery.
      Methods A total of 100 middle-aged and elderly patients with kinesiophobia after lumbar disc herniation surgery were selected as the research subjects, and divided into an intervention group and a control group by the random number table method, with 50 cases in each group.The control group received routine nursing care, while the intervention group received the nursing intervention program based on the common-sense model of self-regulation on the basis of routine nursing care.The scores of the numerical rating scale (NRS) for pain, Tampa scale for kinesiophobia (TSK), exercise adherence rating scale (EARS), and Japanese Orthopaedic Association low back pain rating scale (JOA) of the two groups were compared before, at discharge, and 1 month and 3 months after surgery.
      Results The NRS and TSK scores in the intervention group before intervention, 1 month after surgery, and 3 months after surgery were lower than those in the control group (P < 0.05 to P < 0.01), and the EARS and JOA scores were significantly higher than those in the control group (P < 0.01).
      Conclusions The nursing intervention program based on the common-sense model of self-regulation can relieve pain, alleviate kinesiophobia, improve exercise compliance, and effectively improve physical function in middle-aged and elderly patients with lumbar disc herniation after surgery.

       

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