健脊十八式练功视频在腰椎管狭窄症患者慢病管理中的应用

Application of Eighteen-mode Spine-strengthening Exercises Video for Chronic Disease Management of Patients with Lumbar Spinal Stenosis

【目的】探讨健脊十八式练功视频在腰椎管狭窄症患者慢病管理中的应用效果。【方法】选取2017年5月～2017年12月在广东省中医院芳村医院骨科进行慢病管理的腰椎管狭窄症患者60例为研究对象。根据入组的先后顺序将患者随机分为实施组和对照组,每组各30例。2组患者在进行相同的慢病管理基础上,实施组运用健脊十八式练功视频进行练功指导并派发练功视频教程;对照组采用派发图文手册、现场示范等常规练功指导。观察2组患者进行练功指导后3个月的日本骨科协会(JOA)腰椎疾患疗效评定量表评分、疼痛视觉模拟量表(VAS)评分、健康状况调查简表(SF-36)的生活质量评分及一般自我效能感量表(GSES)的自我效能评分的改善情况。【结果】经不同的练功指导方式干预3个月后,2组患者的腰椎疾患JOA评分、疼痛VAS评分、生活质量SF-36评分及自我效能GSES评分均较干预前明显改善(P<0.05或P<0.01),且实施组对各项指标的改善作用均明显优于对照组,差异均有统计学意义(P<0.01)。【结论】健脊十八式练功视频在腰椎管狭窄症患者慢病管理中的正确运用,能有效缓解患者腰椎疾患、腰腿痛状况,提高患者的生活质量及自我效能。

Objective To explore the effect of Eighteen-mode Spine-strengthening Exercises video applying for the chronic disease management of patients with lumbar spinal stenosis. Methods A total of 60 cases of lumbar spinalstenosis patients receiving chronic disease management from May of 2017 to December of 2017 in OrthopedicsDepartment of Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine were enrolledin the study. According to the order of admission,the patients were randomly divided into trial group and controlgroup,30 cases in each group. The two groups received the chronic disease management,and additionally thetrial group did exercises guided by Eighteen-mode Spine-strengthening Exercises video and were given the videocourse, the control group adopted routine exercises instruction of picture-text manual and on-the-spotdemonstration. After intervention with exercises for 3 months,we observed the Japanese Orthopedic Association（JOA）scores, visual analogue scale（VAS）pain scores, 36-item short-form health status survey（SF-36）scores,and general self-efficacy scale（GSES）scores for lumbar disease patients in the two groups. Results Afterintervention with different exercise instruction for 3 months, JOA scores,pain VAS scores,SF-36 scores,andGSES scores for lumbar disease patients in the two groups were improved as compared with those before intervention（P〈0.05 or P〈0.01）,and the improvement in the trial group was superior to that in the control group,thedifference being significant（P〈0.01）. Conclusion Correct application of Eighteen-mode Spine-strengtheningExercises video for chronic disease management of patients with lumbar spinal stenosis disease has certain effect onrelieving the pain in low back and lower extremities,and promoting the quality of life and self-efficacy of the patients.