腰背肌核心肌力训练结合多元化健康宣教在脊柱胸腰段骨折术后患者康复护理中的应用  

Application of Core Muscle Strength Training of Lumbar and Back Muscles Combined with Diversified Health Education in the Rehabilitation Nursing of Patients with Spinal Thoracolumbar Fractures after Surgery

作　　者：孙倩 SUN Qian(Department of Spine Surgery,Weihai Central Hospital,Weihai 264400,China)

机构地区：[1]威海市中心医院脊柱外科,山东威海264400

出　　处：《反射疗法与康复医学》2024年第12期69-72,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨腰背肌核心肌力训练结合多元化健康宣教在脊柱胸腰段骨折术后患者康复护理中的应用。方法选择威海市中心医院2022年8月—2023年10月收治的94例脊柱胸腰段骨折术后患者为研究对象,按随机数字表法将其分为对照组和观察组,各47例。对照组采用常规康复护理,观察组在对照组基础上采用腰背肌核心肌力训练结合多元化健康宣教,两组均持续干预12周。对比两组的自我效能感、疼痛程度、脊柱功能、步行功能。结果干预后,两组一般自我效能感量表评分均高于干预前,且观察组高于对照组,两组疼痛视觉模拟评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组腰椎日本骨科协会评估治疗分数均高于干预前,且观察组高于对照组,两组腰椎功能障碍指数评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组10 m步行测试时间均短于干预前,且观察组短于对照组,差异有统计学意义(P<0.05)。结论腰背肌核心肌力训练结合多元化健康宣教有利于提升脊柱胸腰段骨折术后患者的自我效能感,减轻疼痛程度,改善脊柱功能及步行能力。Objective Exploring the application of core muscle strength training of lumbar and back muscles combined with diversified health education in the rehabilitation nursing of patients with thoracolumbar spine fractures after surgery.Methods Ninety-four postoperative patients with spinal thoracolumbar fractures admitted to Weihai Central Hospital from August 2022 to October 2023 were selected as the research subjects,they were divided into a control group and an observation group using a random number table method,with 47 cases in each group.The control group received routine rehabilitation nursing,while the observation group received core muscle strength training of lumbar and back muscles combined with diversified health education on the basis of the control group,both groups received continuous intervention for 12 weeks.Compare the self-efficacy,pain level,spinal function,and walking function those between the two groups.Results After intervention,both groups had higher General Self Efficacy Scale scores than before intervention,and the observation group had higher scores than the control group,both groups had lower pain Visual Analog Scale scores than those before intervention,and the observation group had lower scores than that in the control group,the differences were statistically significant(P<0.05);the lumbar spine Japanese Orthopedic Association scores of both groups were higher than those before intervention,and the observation group was higher than that in the control group,the Oswsetry Dysfunction Index scores of both groups were lower than those before intervention,and the observation group was lower than that in the control group,the differences were statistically significant(P<0.05);both groups of 10 meter walking tests times were shorter than those before intervention,and the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).Conclusion The combination of core muscle strength training of lumbar and back muscles and diversified health educ

关 键 词：脊柱胸腰段骨折 腰背肌核心肌力训练 多元化健康宣教 脊柱功能 

分 类 号：R473.6[医药卫生—护理学]