思维导图引导康复锻炼对胸腰椎肿瘤术后功能恢复的干预效果  

The Effect of Mind Mapping Guided Rehabilitation Exercise on the Functional Recovery of Thoracolumbar Tumor after Operation

作　　者：冯丹蕾 彭玉慧[1] 李青青[1] 蒋晶[1] 张蓉[1] FENG Dan-lei;PENG Yu-hui;LI Qing-qing;JIANG Jing;ZHANG Rong(Department of Spine SurgeryJiangsu People's Hospital,Nanjing,Jiangsu,210000,China)

机构地区：[1]江苏省人民医院脊柱外科,江苏南京210000

出　　处：《现代生物医学进展》2020年第6期1172-1176,共5页Progress in Modern Biomedicine

基　　金：江苏省临床医学科技专项项目(BL20161481)。

摘　　要：目的:研究思维导图引导康复锻炼对胸腰椎肿瘤术后功能恢复的干预效果,为患者术后的康复提供指导。方法:选择我院2017年1月-2019年12月期间我院200例胸腰段肿瘤术后患者。按照随机数表法将其分为研究组与对照组。研究组采用思维导图引导康复锻炼措施,对照组采用常规术后康复锻炼措施。比较两组患者干预前后腰背部功能、日常生活活动能力、社会生活生存质量及康复质量的评分结果。结果:干预后研究组生活自理能力、疼痛情况、站立、坐位、步行、睡眠情况、社会生活的Oswestry功能障碍(ODI)指数明显低于对照组,差异有统计学意义(P<0.05)。干预后研究组Barthel指数以及Fugl-Meyer评分明显高于对照组,差异有统计学意义(P<0.05)。干预后研究组社会功能缺陷筛选量表(SDSS)评分与生存质量测定量表(QOLI)评分明显优于对照组,差异有统计学意义(P<0.05)。干预后研究组患者的躯体症状、心理状态及康复状况评分明显高于对照组,差异有统计学意义(P<0.05)。结论:思维导图引导康复锻炼对胸腰椎肿瘤术后功能恢复有着较为理想的效果,值得临床推广运用。Objective: To study the intervention effect of mind mapping guided rehabilitation exercise on the functional recovery of thoracolumbar tumor after operation, and to provide guidance for the postoperative rehabilitation of patients. Methods: From January2017 to December 2019, 200 patients with thoracolumbar tumor were selected. According to the method of random number table, which were divided into the study group and the control group. The study group used mind mapping guided rehabilitation exercise measures,and the control group used routine postoperative rehabilitation exercise measures. The scores of lumbar back function, activities of daily living, quality of social life and rehabilitation quality were compared before and after intervention. Results: After intervention, the Oswestry dysfunction index(ODI) such as activities of daily living,pain condition,stand,sitting position, walk, sleep condition, social life,in the study group was significantly lower than that in the control group(P<0.05). After intervention, Barthel index and Fugl-Meyer score in the study group were significantly higher than those in the control group(P<0.05). After intervention, the scores of SDSS and QOLI in the study group were significantly higher than those in the control group(P<0.05). After intervention, the scores of somatic symptoms, psychological state and rehabilitation status in the study group were significantly higher than those in the control group(P<0.05). Conclusion:The mind mapping guided rehabilitation exercise has an ideal effect on the functional recovery of thoracolumbar tumor after operation,which is worthy of clinical application.

关 键 词：胸腰椎肿瘤 思维导图 康复锻炼 功能 效果 

分 类 号：R738[医药卫生—肿瘤] R739.93[医药卫生—临床医学]