基于现象描述的康复指导应用在骨质疏松性椎体压缩骨折患者术后用药康复期间的效果观察  

Effect of Rehabilitation Guidance Based on Phenomenon Description During Postoperative Medication Rehabilitation in Patients with Osteoporotic Vertebral Compression Fractures

作　　者：刘莉 李岩[1] 韩枫[1] LIU Li;LI Yan;HAN Feng(Minimally Invasive Orthopedics Department of Shangqiu First People's Hospital,Shangqiu 476100,Henan,China)

机构地区：[1]商丘市第一人民医院微创骨科,河南商丘476100

出　　处：《中国药物滥用防治杂志》2024年第3期454-457,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划(编号:2018020950)。

摘　　要：目的:探讨基于现象描述的康复指导在骨质疏松性椎体压缩骨折(OVCF)患者术后抗骨质疏松用药依从性及自我效能的影响。方法:通过随机数字表法将本院2021年4月—2023年4月收治的96例OVCF患者分为观察组和对照组,每组48例。对照组接受传统康复指导,观察组在对照组基础上开展基于现象描述的康复指导,比较两组Morisky用药依从性问卷、一般自我效能感应量表(GSES)和Oswestry功能障碍指数(ODI)评分。结果:指导后,观察组Morisky评分、GSES评分高于对照组(P<0.05);观察组术后1个月、3个月、6个月ODI评分低于对照组(P<0.05)。结论:基于现象描述的康复指导可以有效提高OVCF患者术后抗骨质疏松用药依从性及自我效能,提升康复效果。Objective:To explore the effect of rehabilitation guidance based on phenomenon description on postoperative antiosteoporosis medication compliance and self-efficacy in patients with osteoporotic vertebral compression fracture(OvVCF).Methods:A total of 96 patients with OVCF admitted to our hospital from April 2021 to April 2023 were divided into observation group and control group by random number table method,with 48 patients in each group.The control group received traditional rehabilitation guidance,and the observation group carried out rehabilitation guidance based on phenomenon description on the basis of the control group.The Morisky medication compliance questionnaire,general self-efficacy induction scale(GSES)and Oswestry dysfunction index(ODI)scores were compared between the two groups.Results:After guidance,the Morisky score and GSES score of the observation group were higher than those of the control group(P<0.05);the ODI scores of the observation group were lower than those of the control group at 1 month,3 months and 6 months after operation(P<0.05).Conclusion:Rehabilitation guidance based on phenomenon description can effectively improve the compliance and self-efficacy of anti-osteoporosis medication in patients with OVCF after operation,and improve the rehabilitation effect.

关 键 词：骨质疏松 椎体压缩骨折 康复指导 用药依从性 自我效能 

分 类 号：R687.3[医药卫生—骨科学] R493[医药卫生—外科学]