基于Cox-IMCHB理论自我管理方案对腰椎融合术后患者功能康复的影响观察  

Effect of Self-Management Scheme Based on Cox-IMCHB Theory on Functional Rehabilitation of Lumbar Fusion Patients

作　　者：鲍业群 李月[2] 朱浏燕 李洋[1] BAO Yequn;LI Yue;ZHU Liuyan;LI Yang(Department of Orthopaedics,Jurong Hospital Affiliated to Jiangsu University(Jurong People’s Hospital)Jurong,Jiangsu 212400,China;Department of Nursing,Jurong Hospital Affiliated to Jiangsu University(Jurong People’s Hospital)Jurong,Jiangsu 212400,China)

机构地区：[1]江苏大学附属句容医院(句容市人民医院)骨科,江苏句容212400 [2]江苏大学附属句容医院(句容市人民医院)护理部,江苏句容212400

出　　处：《中国医药指南》2025年第12期176-179,共4页Guide of China Medicine

摘　　要：目的观察基于Cox健康行为互动(Cox-IMCHB)理论自我管理方案对腰椎融合术后患者功能康复的影响。方法选取句容市人民医院2022年1月至2023年12月178例腰椎融合术后患者,按照入院时间分组,各89例。对照组实施基础护理干预,Cox-IMCHB组在对照组基础上实施基于Cox-IMCHB理论自我管理方案干预。对比两组并发症发生率、护理前后Oswestry功能障碍指数(ODI)、日本骨科协会评估治疗(JOA)评分、自我护理能力测定量表(ESCA)评分、Barthel指数(BI)评分、36项简明健康状况调查问卷(SF-36)评分、护理服务满意度。结果Cox-IMCHB组并发症发生率较对照组低(P<0.05)。护理后Cox-IMCHB组ODI评分较对照组低,JOA评分较对照组高(P<0.05)。护理后Cox-IMCHB组ESCA评分、BI评分较对照组高(P<0.05)。护理后Cox-IMCHB组SF-36评分较对照组高(P<0.05)。Cox-IMCHB组护理服务满意度较对照组高(P<0.05)。结论基于Cox-IMCHB理论自我管理方案用于腰椎融合术后患者,可促进患者腰椎功能恢复,增强其日常生活能力,改善患者生活质量,减少术后并发症,提高患者护理服务满意度。Objective To observe the effect of self-management program based on Cox Health Behavior Interaction(COX-IMCHB)theory on functional recovery of patients after lumbar fusion.Methods A total of 178 patients with underwent lumbar fusion surgery form Jurong People’s Hospital from January 2022 to December 2023 were selected and divided into groups according to their admission time,with 89 cases in each group.The control group received nursing interventions,while the Cox-IMCHB group received self-management interventions based on the Cox-IMCHB theory in addition to the basic nursing interventions.The incidence of complications,the Oswestry disability index(ODI)before and after nursing,the score of Japanese Orthopaedic Association(JOA)the score of exercise of self-care agency scale(ESCA),the Barthel index(BI),the short form 36 health survey questionnaire(SF-36),and the satisfaction with nursing services were compared between the two groups.Results The complication rate was lower in the Cox-IMCHB group than in the control group(P<0.05).ODI score was lower and JOA score was higher in Cox-IMCHB group than control group after care(P<0.05).ESCA scores and BI scores were higher in the Cox-IMCHB group than in the control group after care(P<0.05).SF-36 score was higher in Cox-IMCHB group than control group after nursing care(P<0.05).Satisfaction with nursing service was higher in Cox-IMCHB group than control group(P<0.05).Conclusions Self-management program based on Cox-IMCHB theory can promote the recovery of lumbar function,enhance the ability of daily living,improve the quality of life of patients,reduce postoperative complications,and improve the satisfaction of patients with nursing services after lumbar fusion.

关 键 词：腰椎融合术 Cox健康行为互动 自我管理方案 功能康复 

分 类 号：R681.53[医药卫生—骨科学] R473.6[医药卫生—外科学]