腰椎间盘突出症患者术后功能锻炼依从性的影响因素分析  

Influencing factor analysis of postoperative functional exercise compliance in the patients with lumbar disc herniation

作　　者：岳慧玲[1] 胡三莲[2] 杨洁[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科200233 [2]上海交通大学附属第六人民医院护理部200233

出　　处：《中华现代护理杂志》2016年第20期2873-2877,共5页Chinese Journal of Modern Nursing

摘　　要：目的了解腰椎间盘突出症（腰突症）患者早期功能锻炼依从性情况，并分析其影响因素，探讨提高腰突症患者早期功能锻炼依从性的方法。方法参考有关文献及量表设计腰椎间盘突出症患者术后功能锻炼的依从性调查表。对147例腰突症患者的依从性及其影响因素进行分析。结果147例患者早期功能锻炼完全依从的仅占25．2％，其中文化程度及性格类型不同的患者其依从性差异有统计学意义（P〈0．05）。患者依从性差的原因有害怕疼痛、担心影响愈合、对术后功能锻炼的重要性认识不足、缺乏社会支持（P〈0．05）。结论腰椎间盘突出症术后早期需要对患者加强康复知识的重要性宣教，尤其是文化程度低、依赖性强和害怕疼痛的患者，采取针对性的护理措施最大限度地提高患者术后功能锻炼的依从性，恢复和改善患者腰突症术后的日常生活能力和生活质量。Objective To investigate the compliance of the early functional exercise in the patients with lumbar disc herniation （LDH） and analyze its influencing factors for exploring the methods to improve their compliance of the early functional exercise. Methods Through referencing literature and scales a postoperative functional exercise compliance questionnaire was designed for the patients with LDH. The compliance and its influencing factors of 147 LDH patients were analyzed. Results Among the 147 patients, the full compliance of the early functional exercise only accounted for 25.2%. The compliance significantly differed in the education level and the type of personalities （ P 〈 0.05 ）. The reasons of the poor compliance included fearing pain, worrying about healing, insufficient understanding of the importance of the postoperative functional exercise, and lack of social support （ P 〈0. 05 ）. Conclusions The importance of rehabilitation knowledge should be propagated to patients in the early period, especially for the patients with a low education level, strong dependence, and fear of pain. Corresponding nursing measures are taken to improve the patient＇s compliance of the postoperative functional exercise maximally, in order to recover and improve the ability in activities of daily living and the quality of life in LDH patients after the operation.

关 键 词：腰椎间盘突出症 康复 功能锻炼 依从性 影响因素 

分 类 号：R473.6[医药卫生—护理学]