反馈式健康教育在微创椎间孔减压术患者中的应用  

Application of feedback health education in patients undergoing minimally invasive foraminal decompression surgery

作　　者：曹明曦 范建平 吕欣 郭志恒 严玉梅 CAO Mingxi;FAN Jianping;LV Xin;GUO Zhiheng;YAN Yumei(Shanghai Changzheng Hospital,Shanghai 200080,China;Shanghai Tongren Hospital,Shanghai 200080,China)

机构地区：[1]上海长征医院骨科,上海市200080 [2]上海市同仁医院,上海市200080

出　　处：《护理实践与研究》2025年第4期627-632,F0003,共7页Nursing Practice and Research

基　　金：上海市长宁区卫生健康委员会青年课题计划(编号:2022QN06)。

摘　　要：目的探讨反馈式健康教育在微创椎间孔减压术患者中的应用效果。方法选取2021年1月—2023年3月骨科收治并择期实施微创椎间孔减压术的150例患者为研究对象,按照组间基线资料具有可比性的原则分为对照组和观察组,每组75例。对照组出院后行常规居家康复护理干预,观察组在对照组基础上给予反馈式健康教育。观察两组患者术后居家康复自我效能、康复锻炼依从性、腰椎功能以及日常生活活动能力(ADL)的改善情况。结果两组患者出院后1周的自我效能评分比较差异无统计学意义(P>0.05);出院1个月后,观察组患者自我效能评分高于对照组,差异有统计学意义(P<0.05)。出院后1周,两组患者康复锻炼依从性比较差异无统计学意义(P>0.05);出院1个月后,观察组患者康复锻炼依从性高于对照组,差异有统计学意义(P<0.05)。出院3个月后,观察组患者JOA评分高于对照组,腰椎前屈、腰椎后伸活动度大于对照组,差异有统计学意义(P<0.05)。出院1个月后,观察组患者ADL评分高于对照组,差异有统计学意义(P<0.05)。结论对微创椎间孔减压术后患者实施反馈式健康教育,有助于增强患者居家自我康复效能、提高康复锻炼依从性,从而提升其腰椎康复效果。Objective To explore the application effect of feedback health education in patients undergoing minimally invasive foraminal decompression surgery.Methods A total of 150 patients who were admitted to the Department of Orthopedics and underwent scheduled minimally invasive foraminal decompression surgery from January 2021 to March 2023 were selected as research subjects.According to the principle of comparability of baseline data between the groups,they were divided into a control group and an observation group,with 75 cases in each group.The control group received routine home rehabilitation nursing intervention after discharge,while the observation group received feedback health education on the basis of the control group.The improvements in postoperative home rehabilitation self-effi cacy,rehabilitation exercise adherence,lumbar function,and Activity of Daily Living(ADL)were observed in both groups of patients.Results One week after discharge,there was no statistically signifi cant diff erence in the self-effi cacy scores between the two groups of patients(P>0.05).One month after discharge,the self-effi cacy score in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05).One week after discharge,there was no statistically signifi cant diff erence in the exercise adherence between the two groups of patients(P>0.05).One month after discharge,the exercise adherence in the observation group was higher than that in the control group,the difference was statistically signifi cant(P<0.05).Three months after discharge,the JOA score in the observation group was higher than that in the control group,the observation group had greater range of lumbar fl exion and extension motion compared to the control group,the diff erences were statistically signifi cant(P<0.05).One month after discharge,the ADL score in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05).Conclusion Implementing feedback heal

关 键 词：微创椎间孔减压术 腰椎间盘突出 微信 反馈式健康教育 居家康复 腰椎功能 

分 类 号：R473.6[医药卫生—护理学]