|
|
|
| Effect of cognitive behavioral intervention on postoperative pain self-efficacy, rehabilitation training behavior, and recovery quality of patients with lumbar disc herniation |
| ZHANG Cun YUE Huiling▲ |
| Department of Orthopedics, Shanghai Sixth People’s Hospital, Shanghai 200233, China |
|
|
|
Abstract Objective To observe the effect of cognitive behavioral intervention on postoperative pain self-efficacy, rehabilitation training behavior, and recovery quality of patients with lumbar disc herniation (LDH). Methods A total of 150 LDH patients admitted to Shanghai Sixth People’s Hospital from January 2016 to January 2018 who underwent posterior lumbar decompression and internal fixation were divided into two groups according to the random number table method, with 75 cases in each group. The control group received routine intervention, and the observation group received cognitive behavioral intervention on the basis of control group, followed up for three months. The scores of chronic pain self-efficacy scale (CPSS), rehabilitation training compliance behavior scale, and lumbar Japanese Orthopaedic Society (JOA) were compared between the two groups before and after intervention, and the rehabilitation effects of the two groups were observed three months after surgery. Results The excellent and good rate of rehabilitation in observation group was higher than that in control group (P ＜ 0.05). After intervention, CPSS score and lumbar JOA score in both groups were higher than those before intervention, and the observation group was higher than the control group (P ＜ 0.05). The scores of compliance behaviors in the observation group were higher than those in the control group (P ＜ 0.05). Conclusion Cognitive behavioral intervention can improve postoperative pain self-efficacy and rehabilitation training compliance of patients with LDH, and promote the recovery of lumbar function.
|
|
|
|
|
|
[1] Siccoli A，Staartjes VE，De Wispelaere MP，et al. Tandem Disc Herniation of the Lumbar and Cervical Spine： Case Series and Review of the Epidemiological，Pathophysiological and Genetic Literature [J]. Cureus，2019，11（2）：e4081.
[2] Kim YK，Kang D，Lee I，et al. Differences in the Incidence of Symptomatic Cervical and Lumbar Disc Herniation According to Age，Sex and National Health Insurance Eligibility：A Pilot Study on the Disease's Association with Work [J]. Int J Environ Res Public Health，2018，15（10）：2094.
[3] 李林，周富，张弘，等.核心肌群训练配合疼痛护理干预对中年腰椎间盘突出症病人康复的影响[J].护理研究，2017，31（30）：3838-3841.
[4] 薛慧，李雁，张洁.正念认知行为干预对老年髋部骨折固定术患者自我感受负担及自我效能的影响[J].医学临床研究，2018，35（4）：830-832.
[5] 刘美凤，李福霞，于翠华，等.中文版慢性疼痛自我效能感量表用于老年癌痛病人的信效度研究[J].护理学报，2012，19（12）：11-13.
[6] Ishibashi Y，Adachi N，Koga H，et al. Japanese Orthopaedic Association（JOA）clinical practice guidelines on the management of anterior cruciate ligament injury-Secondary publication [J]. J Orthop Sci，2020，25（1）：6-45.
[7] 惠静，丘荣，陈金武.标准化健康教育模式在腰椎间盘突出症患者疼痛管理中的应用[J].医学临床研究，2016，33（2）：414-416.
[8] 张岚，田翠霞，张苏娟.综合性护理干预联合舒适性护理在经皮椎间孔镜治疗腰椎间盘突出症中的应用[J].检验医学与临床，2017，14（24）：3668-3670.
[9] 陈成，孙川江，张彤，等.早期功能锻炼对腰椎间盘突出症术后疗效及生存质量影响的研究[J].中国临床医生杂志，2015，43（9）：55-57.
[10] 王银浩，王翠.腰椎间盘突出症患者术后康复的研究进展[J].中国康复理论与实践，2019，25（4）：401-406.
[11] 刘艳，刘莹，张绍昆.腰椎间盘突出症微创术后功能锻炼对老年患者血清MMP-3、TNF-α及IL-1β水平的影响[J]. 中国老年学杂志，2018，38（19）：4675-4678.
[12] 杨一琴，胡三莲，周玲，等.腰椎间盘突出症患者术后康复锻炼自我效能及影响因素[J].上海护理，2018，18（9）：46-49.
[13] 任晓冉，陈鸿芳，陈玉，等.老年腰椎间盘突出症患者自我效能水平及其影响因素[J].中华老年多器官疾病杂志，2020，19（9）：661-665.
[14] Hayakawa K，Mizutani J，Suzuki N，et al. Surgical Management of the Pregnant Patient with Lumbar Disc Herniation in the Latter Stage of the Second Trimester [J]. Spine，2016，42（3）：E186.
[15] Huang W，Han Z，Liu J，et al. Risk Factors for Recurrent Lumbar Disc Herniation： A Systematic Review and Meta-Analysis [J]. Medicine，2016，95（2）：e2378.
[16] 鲁齐林，竺义亮，李绪贵，等.腰椎间盘突出症患者微创手术术前不良心理状态调查及对预后的影响[J].中国全科医学，2020，23（14）：1740-1746，1752.
[17] 金佳佳，刘晓莉，徐小，等.渐进式放松训练对腰椎间盘突出术后患者疼痛水平及焦虑情绪的影响[J].中华现代护理杂志，2017，23（16）：2152-2155.
[18] 顾娇娇，王雪华，张慧玲，等.腰椎间盘突出症患者自我管理行为与自我效能的相关性研究[J].护理学报，2015， 22（16）：26-29.
[19] 吴旭旭，张迎春.阶梯式康复护理干预对微创腰椎间盘突出症患者疼痛程度及功能恢复的影响[J].中国实用护理杂志，2016，32（33）：2579-2582.
[20] 刘亚萍，张玉芯，陆琪，等.系统护理在减轻腰椎间盘突出症术后疼痛的疗效观察[J].西部医学，2015，27（8）：1250-1252.
[21] 邹慧，孙君兰，杨旅凤，等.腰椎间盘突出症术后腰围使用的护理干预[J].护士进修杂志，2015，30（13）：1231-1233.
[22] 张瑶，郭闯.快速康复护理在腰椎间盘突出症患者围术期的应用[J].中国医药导报，2021，18（7）：173-175，184.
[23] 段征征，刘义兰，陈婷.认知行为干预在腰椎间盘突出患者疼痛中的应用[J].护理学杂志，2015，30（8）：40-42.
[24] 程波，付开慧，王耀娟，等.中医情志护理结合认知行为干预在降低腰椎间盘突出症患者康复期恐动症中的应用[J].中国实用护理杂志，2020，36（31）：2411-2417.
[25] 谢芳，蔡英莲，唐钰莹，等.中医延续护理在腰椎间盘突出症患者中的应用新进展[J].中国医药科学，2021，11（14）：26-30.
[26] 熊丽娟，汪艳.中医特色多维康复护理在腰椎间盘突出症患者中的应用效果[J].中国当代医药，2022，29（5）：164-168.
[27] 宋莹莹，张岚，刘秀梅，等.多学科协作干预对腰椎术后恐动症患者康复结局的影响[J].护理学杂志，2019，34（9）：76-79.
[28] 归燕华，秦玲，归承莹.社区腰椎间盘突出症患者康复认知现况及相关因素分析[J].老年医学与保健，2019， 25（5）：670-672. |
|
|
|
