自我管理模式在腰椎间盘突出症患者中的应用效果评价

Application of self-management protocol in patients with Lumbar Disc Herniation

目的探讨自我管理模式在腰椎间盘突出症患者中的应用效果。方法采用随机数字表法,将77例腰椎间盘突出症患者分为观察组(38例)和对照组(39例)。观察组采用自我管理干预6个月,对照组进行常规指导。分别在干预前、患者出院后第3个月、患者出院后第6个月评价两组患者自我效能、疼痛和功能障碍程度。结果观察组干预后不同时间点患者自我效能得分高于干预前水平,并且高于对照组(P<0.05);观察组干预后功能障碍、疼痛视觉模拟量表得分低于干预前,且低于对照组(P<0.05)。结论自我管理模式能有效提高腰椎间盘突出症患者的自我效能水平,减轻患者的疼痛和功能障碍程度。

Objective To evaluate the effects of self - management protocol applied in patients with Lumbar Disc Herniation. Methods A total of 77 patients with Lumbar Disc Herniation were enrolled and divided into experimental group （n = 38） and control group （n = 39 ） with random number table. Self- management intervention was applied in the experimental group for 6 months, and routine guidance was employed in the control group. Self - efficacy, pain and physical disability were assessed and compared between the two groups before intervention,three month and six month after intervention. Results The scores of self - efficacy in different periods after intervention were higher than that before intervention, and higher than that of the control group （ P 〈 0.05 ）. The scores of pain visual analog scale and physical disability after intervention were lower than those before intervention, and lower than those of the control group （ P 〈 0.05 ）. Conclusion Self-management intervention protocol can significantly improve patients＇ self- efficacy, and decrease the level of pain and disability.