集体干预在腰椎间盘突出症患者功能锻炼中的应用

Application of group intervention in function exercise of patients with lumbar disc herniation

目的评价集体干预在指导腰椎间盘突出症患者功能锻炼中的效果。方法将2011年4—12月68例符合入组标准的患者按照随机、对照的原则分成两组，每组各34例。研究组进行集体干预指导功能锻炼护理，对照组进行个体干预指导功能锻炼护理，应用疼痛视觉模拟评分法（visualanaloguescales，VAS）、腰部活动度（1umbarmotionangle，LMA）、日本骨科学会改良下腰痛功能评价表（M-JOA score）进行护理前后疗效评价。结果在研究过程中研究组脱落2例，对照组脱落4例。治疗4周后，研究组VAS评分为（I．80±1．75）分，对照组为（3．03±1．36）分，两组比较差异有统计学意义（t=-3．060，P=0．003）；研究组LMA为（197．19±30．45）°，对照组为（173．33±39．70）°，两组比较差异有统计学意义（t=2．664，P=0．010）；研究组M—JOA评分为（22．31±4．76）分，对照组为（20．03±4．45）分，两组比较差异有统计学意义（t=1．946，P=0．016）；研究组有效率为93．8％，对照组为73．3％，两组比较差异有统计学意义（x2=4．771，P=0．032）。结论集体干预功能锻炼护理方案能够有效缓解腰椎间盘突出症患者的症状。

Objective To evaluate the effect of group intervention on the function exercise of lumbar disc herniation. Methods Totals of 68 patients who diagnosed lumbar disc herniation were divided into two groups randomly, with 34 cases in each group. The research group received group intervention in function exercise while the control group received individual intervention in function exercise. The scores of visual analogue scales （ VAS）, lumbar motion angle （LMA） and M-JOA were used to evaluate the curative effect before and after the nursing. Results There were 2 cases of research group and 4 cases of control group lost during this study. The scores of VAS, LMA and M-JOA of research group were better than that of the control group [（1.80±1.75）vs（3.03 ±1.36）,（197.19±30.45）°vs（173.33±39.70）°, （22.31±4.76）vs （ 20.03 ± 4.45 ） ], and the differences were statistically significant （ t = - 3. 060, 2.664, 1. 946, respectively; P 〈0.05）. The effective rate of research group was 93.8% which was significantly higher than 73.3% of the control group （ X2 = 4.771,P 〈 0.05 ）. Conclusions The symptoms of lumbar disc herniation can be effectively improved by group intervention application in function exercise, and it can be generalized and applied in clinic nursing.