基于保护动机理论的延续性护理干预在慢性腰背痛患者中的应用  

Application of continuous nursing intervention based on protective motivation theory in patients with chronic low back pain

作　　者：毛兴普 王玉静[1] 马莉[1] 吴雪[1] MAO Xingpu;WANG Yujing;MA Li;WU Xue(Department of Pain Medicine,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院疼痛科,河南郑州450014

出　　处：《包头医学院学报》2023年第7期71-75,96,共6页Journal of Baotou Medical College

摘　　要：目的:探讨基于保护动机理论的延续性护理干预对慢性腰背痛(chronic low back pain,CLBP)患者的影响。方法:选取本院2019年8月-2021年12月就诊的CLBP患者216例,按照护理方法不同分为研究组(n=108)和常规组(n=108)。常规组采用常规护理治疗,研究组在常规组基础上联合基于保护理论的延续性护理干预,比较两组干预前、干预3个月后视觉模拟量表(visual analogue scale,VAS)、腰椎日本骨科协会评估治疗评分(Japanese Orthopaedic Association score,JOA score)、恐惧-回避信念量表(fear-avoidance belief questionnaire,FABQ)、生活质量综合评定问卷-74(generic quality of life inventory 74,GQOL-74)评分及健康促进行为、护理满意度。结果:干预后与常规组比较,研究组VAS、FABQ评分较低,腰椎JOA、GQOL-74评分较高(P<0.05);研究组健康行为中、高水平例数高于常规组,健康行为低水平例数低于常规组(P<0.05);两组护理满意度比较,研究组95.37%高于常规组83.33%(P<0.05)。结论:基于保护动机理论的延续性护理干预可减轻CLBP患者恐惧回避情绪,缓解腰部疼痛感,提升腰椎功能,还可改善其生活质量及护理满意度。Objective:To explore the effect of continuous nursing intervention based on the protective motivation theory in patients with chronic low back pain(CLBP).Methods:A total of 216 CLBP patients who visited our hospital from August 2019 to December 2021 were selected and divided into the study group(n=108)and routine group(n=108)according to different nursing methods.The routine group was intervened with routine nursing,and the study group was cared by combining with the continuous nursing intervention based on the protective motivation theory on the basis of the routine group.Japanese Orthopaedic Association(JOA)Scores,Fear-Avoidance Belief Questionnaire(FABQ),Generic Quality of Life Inventory 74(GQOL-74)Scores and health promoting behaviors,nursing satisfaction of the two groups 3 months before and after intervention were compared.Results:After int ervention,the study group had lower VAS and FABQ scores,higher JOA and GQOL-74 scores for lumbar spine compared with the routine group(P<0.05).The number of low-level cases of health promoting behaviors in the study group was lower than that in the routine group(P<0.05).Comparing with the routine group,the study group had higher nursing satisfaction(95.37%vs 83.33%)(P<0.05).Conclusion:Continuous nursing intervention based on protective motivation theory could reduce fear-avoidance emotion of patients with CLBP,relieve lumbar pain,improve function of lumbar spine,and improve their quality of life and nursing satisfaction.

关 键 词：保护动机理论 延续性护理 慢性腰背痛 腰椎功能 

分 类 号：R473.6[医药卫生—护理学]