正念减压疗法结合适度锻炼对强直性脊柱炎患者康复效果的影响  

Effect of mindfulness-based stress reduction combined with moderate exercise on the rehabilitation of patients with ankylosing spondylitis

作　　者：邹丽梅[1] 陈小婷 罗思华 ZOU Limei;CHEN Xiaoting;LUO Sihua(Huizhou Central Peoples Hospital,Huizhou,Guangdong,516001,China)

机构地区：[1]惠州市中心人民医院,广东惠州516001

出　　处：《中西医结合护理（中英文）》2024年第1期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的讨论正念减压疗法结合适度锻炼对强直性脊柱炎患者康复效果的影响。方法按随机数字表法将2021年4月至2023年4月在惠州市中心人民医院风湿免疫科住院的118例强直性脊柱炎患者分为对照组和观察组,各59例。对照组给予常规干预,观察组基于常规干预给予正念减压疗法结合适度锻炼干预,并比较2组的干预效果。结果干预1个月后,观察组的枕墙距和指地距均小于对照组,Schober试验距离和胸廓活动度范围均较对照组增加(P均<0.05),且2组均较入院时改善(P均<0.05)。干预1个月后,观察组的强直性脊柱炎功能指数量表各项评分均低于对照组,健康调查量表36各项评分均高于对照组(P均<0.05),且2组均优于入院时(P均<0.05)。结论正念减压疗法结合适度锻炼有助于改善强直性脊柱炎患者的脊柱活动度、躯体功能和生活质量。Objective To discuss the effect of mindfulness-based stress reduction combined with moderate exercise on the rehabilitation of patients with ankylosing spondylitis.Methods According to the random number table method,a total of 118 patients with ankylosing spondylitis admitted to the Rheumatology and Immunology Department of Huizhou Central Peoples Hospital from April 2021 to April 2023 were divided into a control group and an observation group,with 59 patients in each group.The control group received routine intervention,while the observation group received mindfulness-based stress reduction combined with moderate exercise intervention based on routine intervention,and the intervention effects of the two groups were compared.Results After one month of intervention,the occipital wall distance and finger ground distance in the observation group were smaller than those in the control group,and the Schober test distance and chest range of motion in the observation group increased compared to the control group,and the above indicators in both groups improved compared to admission(all P<0.05).After one month of intervention,the scores of Bath Ankylosing Spondylitis Functional Index in the observation group were lower than those in the control group,and the scores of Short Form-36 Health Survey in the observation group were higher than those in the control group(all P<0.05),and the above scores in both groups were better than those at admission(all P<0.05).Conclusion Mindfulness-based stress reduction combined with moderate exercise can help improve spinal range of motion,physical function,and quality of life in patients with ankylosing spondylitis.

关 键 词：强直性脊柱炎 正念减压疗法 适度锻炼 脊柱活动度 躯体功能 

分 类 号：R473.5[医药卫生—护理学]