针对性健康教育方案联合心理支持在青少年特发性脊柱侧凸患者中的应用  

Application of targeted health education program combined with psychological support in adolescent idiopathic scoliosis patients

作　　者：赵智娴 袁羽翔 祝明秋 ZHAO Zhixian;YUAN Yuxiang;ZHU Mingqiu(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2025年第1期33-36,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨针对性健康教育方案联合心理支持在青少年特发性脊柱侧凸(AIS)患者术后康复中的应用效果。方法本研究纳入2021年3月至2023年3月于徐州医科大学附属医院接受手术治疗的100例AIS患者,以信封随机法的方式分为观察组(50例)及对照组(50例)。2组均予综合护理和心理支持,观察组加用针对性健康教育。分析并对比2组的术后恢复情况、心理状态、疼痛程度及Cobb角变化。结果观察组的下床活动时间、术后住院时间和术后输血率均优于对照组(P均<0.05)。与同组术前1 d比较,2组在术后7 d的焦虑和抑郁自评量表评分均下降(P均<0.05);与对照组比较,观察组在术后7 d的评分均更低(P均<0.05)。与同组术前1 d比较,2组在术后1 d、2 d和3 d的视觉模拟评分法评分均升高(P均<0.05);与同期对照组比较,观察组的评分均更低(P均<0.05)。与同组术前比较,2组在术后1个月、3个月和6个月的Cobb角均更小(P均<0.05);与同期对照组比较,观察组的Cobb角均更小(P均<0.05)。结论在心理支持的同时给予针对性健康教育方案,能够促进AIS患者术后恢复,改善其心理状态,减轻术后疼痛,且对于维持矫形手术长期效果有益。Objective To explore the application effect of targeted health education program combined with psychological support in postoperative rehabilitation of adolescent idiopathic scoliosis(AIS)patients.Methods A total of 100 AIS patients who received surgical treatment at the Affiliated Hospital of Xuzhou Medical University from March 2021 to March 2023 were included and divided into an observation group(50 cases)and a control group(50 cases)by envelope random method.Both groups received comprehensive nursing and psychological support,while the observation group received additional targeted health education.The postoperative recovery,psychological state,pain degree and Cobb angle of the two groups were analyzed and compared.Results The observation group had better mobilization time,postoperative hospitalization time,and postoperative blood transfusion rate than the control group(all P<0.05).Compared with the same group on the day before surgery,both groups showed a decrease in self-evaluation scores for anxiety and depression on the seventh day after surgery(all P<0.05).Compared with the control group,the observation group had lower scores on the seventh day after surgery(all P<0.05).Compared with the same group on the day before surgery,both groups showed an increase in Visual Analogue Scale score on postoperative days 1,2,and 3(all P<0.05).Compared with the control group during the same period,the observation group had lower scores(all P<0.05).Compared with the same group before surgery,both groups had smaller Cobb angles at 1,3,and 6 months after surgery(all P<0.05).Compared with the control group during the same period,the Cobb angles in the observation group were smaller ( all P < 0. 05) . Conclusion Providing targeted health education programs whileproviding psychological support can promote postoperative recovery, improve the psychological state ofAIS patients, alleviate postoperative pain, and be beneficial for maintaining the long-term effectivenessof orthopedic surgery.

关 键 词：青少年特发性脊柱侧凸 针对性健康教育 心理支持 疼痛程度 

分 类 号：R734.2[医药卫生—肿瘤]