摘要
目的:探讨认知行为干预联合早期功能锻炼对腰椎间盘突出症(LDH)术后患者恐动症水平的影响。方法:选取2022年1月—2023年1月郑州市骨科医院收治的70例LDH术后患者作为研究对象。根据干预方式的不同将其分为对照组和观察组,每组各35例。对照组采用常规干预和功能锻炼,观察组采用认知行为干预联合早期功能锻炼。对比两组患者的恐动症水平、腰椎康复、自我效能情况。结果:干预后,观察组患者恐动症量表(TSK)评分、恐惧逃避信念问卷(FABQ)评分低于对照组,差异有统计学意义(t=3.972、4.372,P<0.05);观察组患者日本骨科协会评估治疗分数(JOA)各维度评分均高于对照组,差异有统计学意义(t=-2.528、-2.307、-2.404、2.788,P<0.05);观察组患者自我效能评价量表(CDSES)各维度评分均高于对照组,差异有统计学意义(t=-2.461、-3.020、-5.144,P<0.05)。结论:认知行为干预联合早期功能锻炼能够降低LDH术后患者的恐动症水平,促进腰椎康复,提高自我效能。
Objective:To investigate the effect of cognitive behavioral intervention combined with early functional exercise on the level of kinetophobia in patients with lumbar disc herniation(LDH)after surgery.Methods:70 cases of LDH patients in the hospital from January 2022 to January 2023 were divided into control group(n=35)and observation group(n=35).The control group received conventional intervention and functional exercise,and the observation group received cognitive behavioral intervention combined with early functional exercise.The levels of kinetophobia,lumbar rehabilitation and self-efficacy of the two groups were compared.Results:After intervention,the scores of the moophobia Scale(TSK)and the Fear Avoidance Belief Questionnaire(FABQ)in the study group were lower than those in the control group,and the differences were statistically significant(t=3.972,4.372;P<0.05).After intervention,the Japanese Orthopaedic Association evaluation treatment score(JOA)score of the observation group was higher than that of the control group,and the difference was statistically significant(t=-2.528,-2.307,-2.404,2.788;P<0.05).After intervention,the self-efficacy rating scale(CDSES)scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=-2.461,-3.020,-5.144;P<0.05).Conclusion:Cognitive behavioral intervention combined with early functional exercise can reduce the level of motophobia,promote lumbar rehabilitation,and improve self-efficacy in patients after LDH surgery.
作者
李沂柯
Li Yike(The Third Spinal Department,Zhengzhou Orthopedics Hospital,Zhoukou,Henan,450000,China)
出处
《黑龙江医学》
2024年第16期2011-2013,共3页
Heilongjiang Medical Journal
关键词
认知行为干预
早期功能锻炼
腰椎间盘突出症
恐动症水平
Cognitive behavioral intervention
Early functional exercise
Lumbar disc herniation
Kinetophobia levels
