强直性脊柱炎居家患者基于碎片化时间的功能锻炼  

Functional exercise based on fragmented time in stay-at-home patients with ankylosing spondylitis

作　　者：潘胜男 柴春香[1] 牟灵英[1] 窦杰 王祥杰 栾青霞[1] Pan Shengnan;Chai Chunxiang;Mu Lingying;Dou Jie;Wang Xiangjie;Luan Qingxia(Department of Immunology and Rheumatology,Affiliated Hospital of Weifang Medical University,Weifang 261031,China)

机构地区：[1]潍坊医学院附属医院免疫风湿科,山东潍坊261031

出　　处：《护理学杂志》2021年第9期8-11,共4页Journal of Nursing Science

摘　　要：目的提高强直性脊柱炎居家患者功能锻炼效果。方法将门诊就诊的强直性脊柱炎患者67例采用随机数字表法分为对照组34例、观察组33例。对照组依据功能锻炼方案进行康复训练,每周5次,每次30 min;观察组依据功能锻炼方案实施基于碎片化时间的功能锻炼。干预3个月后,比较两组功能锻炼依从性、强直性脊柱炎功能指数及晨僵、疼痛、枕墙距、胸廓活动度的改善情况。结果干预后,观察组功能锻炼依从程度显著高于对照组,且观察组晨僵、枕墙距、胸廓活动度及强直性脊柱炎功能指数改善程度显著优于对照组(均P<0.05)。结论对强直性脊柱炎居家患者实施基于碎片化时间的功能锻炼,有助于提高患者功能锻炼依从性,改善患者症状及脊柱功能,提高日常生活功能。Objective To improve the effect of functional exercise in stay-at-home patients with ankylosing spondylitis.Methods A total of 67 outpatients with ankylosing spondylitis were randomized into a control group(n=34) and an intervention group(n=33) using a random number table.The control group exercised according to the functional exercise program, 5 times a week, 30 minutes each time.While according to the functional exercise program, the intervention group exercised based on fragmented time. Three months after the intervention, the compliance of functional exercise, the improvement of Ankylosing Spondylitis Functional Index(BASFI), morning stiffness, pain, occipital wall distance and thoracic mobility were compared between the two groups.Results After the intervention, the compliance of functional exercise in the intervention group was significantly higher than that in the control group, and the improvement of morning stiffness, occipital wall distance, thoracic mobility and BASFI in the intervention group were significantly better than those in the control group(P<0.05 for all).Conclusion Implementation of the functional exercise program based on fragmented time for stay-at-home patients with ankylosing spondylitis is helpful to increase their compliance of functional exercise, improve their symptoms and spinal function, and enhance their activities of daily living ability.

关 键 词：强直性脊柱炎 功能锻炼 碎片化时间 康复护理 功能锻炼依从性 脊柱功能 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]