健康教育对腰椎间盘突出症患者康复的影响

The effect of health education on rehabilitation of patients with lumbar disc herniation

目的：探讨健康教育对腰椎间盘突出症患者康复的影响。方法选取我院2012年3月~2014年11月收治入院的腰椎间盘突出症患者186例，按随机数字表法分为两组，每组93例，对照组进行常规护理干预，观察组在常规护理干预给予健康教育。比较两组干预前后日本骨科协会（JOA）下腰痛评分及掌握康复知识、术后康复训练的正确率、并发症的发生率、满意度。结果两组患者临床疗效比较差异无统计学意义（P＞0.05）；两组患者治疗后腰椎功能得到明显改善，治疗前后差异有统计学意义（P＜0.05）。观察组患者腰椎功能改善明显优于对照组，两组比较差异有统计学意义（P＜0.05）；观察组掌握康复教育知识明显优于对照组，差异有统计学意义（P＜0.01），观察组患者满意度高于对照组，差异有统计学意义（P＜0.05）。结论健康教育可以提高腰椎间盘突出症患者治疗的依从性，改善症状，提高患者预后。

Objective To investigate the health education in the effect on the rehabilitation of patients with lumbar disc herniation.Methods 186 patients with lumbar disc herniation treated in our hospital from March 2012 to November 2014 were selected and randomly divided into two groups, 93 patients in each group, the control group received routine nursing, the intervention group further received health education intervention. Japanese Orthopaedic Association （JOA） score lower back pain rehabilitation knowledge and grasp the correct rate, postoperative rehabilitation, the incidence of complications, satisfaction before and after the intervention were compared.Results The clinical efficacy of the two groups had no significant difference （P〉0.05）; the two groups of patients after lumbar function was significantly improved after treatment, with a statistically significant difference（P〈0.05）. Functional improvement in patients with lumbar observation group was better than that in the control group, the difference was statistically significant（P〈0.05）; The observation group to master knowledge of rehabilitation education was better than the control group, the difference was statistically significant（P〈0.01）, patient satisfaction in the observation group was higher, the difference was statistically significant（P〈0.05）.Conclusion Health education can improve the treatment of lumbar disc herniation patient compliance, improve symptoms and patient prognosis.