ACTED康复护理模式对腰椎骨质疏松性骨折患者康复效果的影响  

Impact of ACTED rehabilitation nursing model on rehabilitation effect in patients with osteoporotic lumbar vertebral fractures

作　　者：闫晓 贾学勤 姜蕊 张果 介远 李丹丹 Yan Xiao;Jia Xueqin;Jiang Rui;Zhang Guo;Jie Yuan;Li Dandan(Spinal Surgery DepartmentⅡ,Nanyang Hospital of Traditional Chinese Medicine(Dushan Branch),Nanyang 473000,China;Nursing Department,Nanyang Hospital of Traditional Chinese Medicine(Dushan Branch),Nanyang 473000,China;Microscopic Hand Surgery DepartmentⅡ,Nanyang Hospital of Traditional Chinese Medicine(Dushan Branch),Nanyang 473000,China)

机构地区：[1]南阳市中医院(独山院区)脊柱二科,南阳473000 [2]南阳市中医院(独山院区)护理部,南阳473000 [3]南阳市中医院(独山院区)显微手外二科,南阳473000

出　　处：《国际护理学杂志》2025年第7期1198-1203,共6页international journal of nursing

基　　金：南阳市骨科医院关于2023年度科研苗圃计划(项目编号:2023014)。

摘　　要：目的:探讨ACTED康复护理模式对腰椎骨质疏松性骨折患者康复效果的影响。方法:选取南阳市中医院在2022年9月至2024年1月收治的腰椎骨质疏松性骨折患者126例,利用抽签法患者分配至对照组和观察组各63例。对照组行常规康复护理,观察组在常规康复护理基础上实施ACTED康复护理模式。对比两组患者的腰部疼痛、腰椎功能、自我管理能力、健康信念。结果:两组间干预前的VAS和JOA分值比较差异无统计学意义(P>0.05);两组干预后的VAS分值都低于干预前,而JOA分值都高于干预前,且观察组的VAS分值低于对照组,而JOA分值高于对照组,差异有统计学意义(P<0.05)。两组干预前的AHSMSRS量表在认知、行为、环境方面的分值及总分上,差异无统计学意义(P>0.05);两组干预后AHSMSRS量表在认知、行为、环境方面的分值及总分上都高于干预前,且观察组在认知、行为、环境方面的分值及总分上高于对照组,差异有统计学意义(P<0.05)。两组干预前的OHBS量表分值在骨质疏松知识、预防保健行为、健康信念等方面及总分比较差异无统计学意义(P>0.05);两组干预后的各方面分值及总分高于对照组,且观察组各方面的分值及总分高于对照组,差异有统计学意义(P<0.05)。结论:在腰椎骨质疏松性骨折患者康复中,ACTED康复护理模式能有效减轻患者腰部疼痛,改善腰椎功能,并增强了患者的自我管理能力和健康信念。Objective:To explore the impact of ACTED rehabilitation nursing model on rehabilitation effect in patients with osteoporotic lumbar vertebral fractures.Methods:A total of 126 patients with osteoporotic lumbar vertebral fractures who were admitted to Nanyang Hospital of Traditional Chinese Medicine from September 2022 to January 2024 were selected and randomly assigned to the control group and the observation group,63 cases of each group.The control group received routine rehabilitation nursing,while the observation group received ACTED rehabilitation nursing on the basis of routine rehabilitation nursing.The lower back pain,lumbar vertebral function,self-management ability and health beliefs of the two groups were compared.Results:There were no statistically significant differences in VAS score and JOA score between the groups before intervention(P>0.05).The VAS score of both groups after intervention was lower than before intervention,while the JOA score of both groups was higher than before intervention,and the VAS score of the observation group was lower than the control group,while the JOA score was higher than the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the scores and total scores of AHSMSRS in cognition,behavior and environment between the two groups before intervention(P>0.05).After intervention,the scores and total scores of AHSMSRS in cognition,behavior and environment of the two groups were higher than those before intervention,and the scores and total scores of cognition,behavior and environment of the observation group were higher than those of the control group,with statistical significance(P<0.05).Before intervention,there was no statistically significant difference in the scores of OHBS scale in osteoporosis knowledge,preventive health behavior,health belief and the total score between the two groups(P>0.05).After intervention,the scores and total scores of the two groups were higher than those of the control group,and the sc

关 键 词：腰椎骨质疏松性骨折 ACTED康复护理模式 康复效果 腰部疼痛 腰椎功能 

分 类 号：R473.6[医药卫生—护理学]