摘要
目的观察认知行为干预对腰椎间盘突出症(LDH)患者术后疼痛自我效能感、康复训练行为及恢复质量的影响。方法选取上海市第六人民医院2016年1月至2018年1月收治的150例行腰椎后路减压融合内固定术治疗的LDH患者,依据随机数字表法将其分为两组,每组各75例。对照组予以常规干预,观察组在其基础上予以认知行为干预,随访3个月。比较两组干预前后慢性疼痛自我效能感量表(CPSS)评分、康复训练遵医行为量表评分、腰椎日本骨科学会(JOA)评分,并观察两组术后3个月康复效果。结果观察组康复优良率高于对照组(P<0.05)。两组干预后CPSS评分、腰椎JOA评分均较干预前升高,且观察组高于对照组(P<0.05)。观察组术后康复训练遵医行为各项评分均高于对照组(P<0.05)。结论认知行为干预可提高LDH患者术后疼痛自我效能感与康复训练行为遵医程度,促进腰椎功能恢复。
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.
作者
张村
岳慧玲
ZHANG Cun;YUE Huiling(Department of Orthopedics,Shanghai Sixth People’s Hospital,Shanghai200233,China)
出处
《中国医药导报》
CAS
2022年第15期163-166,共4页
China Medical Herald
基金
上海市第六人民医院院级科学研究基金项目(院内-2147)。
关键词
认知行为干预
腰椎间盘突出症
疼痛自我效能感
康复训练
Cognitive behavioral intervention
Lumbar disc herniation
Pain self-efficacy
Rehabilitation training
