自我干预式功能训练对减少舰艇人员职业性肌骨损伤疼痛的影响  

Effects of self-intervention functional training on reducing the pain of occupational musculoskeletal injuries in ship personnel

作　　者：杨恵涵 李丹丹 刘泓辰 YANG Hui-han;LI Dan-dan;LIU Hong-chen

机构地区：[1]大连康复疗养中心小平岛疗养区,辽宁大连116023

出　　处：《中国疗养医学》2024年第3期20-23,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨自我干预式功能训练对减少舰艇人员职业性肌骨损伤疼痛的效果。方法选取2021年6月至2022年8月大连康复疗养中心收治的120例大连驻地舰艇官兵职业性肌骨损伤患者,按照病种随机分为对照组和观察组,对照组给予常规的功能训练,观察组在对照组的基础上实施自我干预措施,包括给予向导式的健康宣教和跟踪式重复性的自我功能训练。通过统计视觉模拟疼痛量表(VAS)评分、患者对知识掌握情况、患者的满意度情况和临床疗效,评价自我干预式功能训练对减少舰艇人员职业性肌骨损伤疼痛的效果。结果治疗前,两组患者损伤评分比较差异无统计学意义(P>0.05);治疗2周和4周后,观察组VAS评分(1.15±1.48)分显著低于对照组(2.85±2.13)分,差异具有统计学意义(P<0.05),对知识的熟知程度评分观察组为(39.73±3.44)分,对照组为(32.30±4.97)分,观察组评分显著高于对照组,差异具有统计学意义(P<0.05);此外,观察组整体满意度达100%显著高于对照组83.3%,差异具有统计学意义(P<0.05);观察组疗效优于对照组,差异有统计学意义(P<0.05)。结论在对舰艇人员职业性肌骨损伤功能训练时,实施自我干预式功能训练能更加有效地减轻疼痛,增强服务满意度,提高疗效。Objective To explore the effect of self-intervention functional training on reducing the pain of occupational musculoskeletal injuries in ship personnel.Methods A total of 120 naval officers and soldiers stationed in Dalian City with occupational musculoskeletal injuries admitted in the Dalian Rehabilitation and Recuperation Center from June 2021 to August 2022 were selected.They were divided into the control group and observation group according to the disease type.Patients in both groups were managed by functional training,and those in the observation group were additionally managed by the self-intervention training,including the guided health education and follow-up repetitive self-function training.The visual analogue scale(VAS)scores,patient's mastery of knowledge,satisfaction and clinical efficacy were compared between groups.The effect of self-intervention functional training on reducing the pain of occupational musculoskeletal injuries in ship personnel was evaluated.Results Before the intervention,there was no significant difference in the lesion score between groups(P>0.05).The VAS scores at 2 and 4 weeks of intervention were significantly lower in the observation group than those of the control group([1.15±1.48]points VS[2.85±2.13]points,P<0.05).The score of patient's mastery of knowledge was significantly higher in the observation group than that of the control group([39.73±3.44]points VS[32.30±4.97]points,P<0.05).The overall satisfaction rate was significantly higher in the observation group than that of the control group(100%VS 83.3%,P<0.05).The efficacy was significantly higher in the observation group than that of the control group(P<0.05).Conclusion Self-intervention functional training can effectively relieve the pain,enhance service satisfaction,improve curative effect in rehabilitation training of occupational musculoskeletal injuries in the navy.

关 键 词：自我干预 功能训练 肌骨损伤 疼痛 

分 类 号：R83[医药卫生—航空、航天与航海医学]