腰背肌功能锻炼与直腿抬高训练指导在腰椎间盘突出症患者中的护理效果

Nursing effect of lower back muscle functional exercise and straight-leg raising training in patients with lumbar intervertebral disc herniation

目的探讨腰背肌功能锻炼与直腿抬高训练联合干预在腰椎间盘突出症护理中的应用效果。方法选取2018年2月~2019年1月我院收治的60例腰椎间盘突出症患者作为研究对象,采用计算机生成随机数的方法分为对照组和观察组,每组各30例。对照组采用常规护理模式;观察组在常规护理基础上增加腰背肌功能锻炼与直腿抬高训练指导方式。比较两组干预后腰椎功能恢复情况、疼痛程度、护理总满意度及康复效果。结果观察组干预后3个月日本骨科学会(JOA)评分、护理总满意度、康复总有效率均高于对照组,差异有统计学意义(P<0.05);观察组干预后1、2周、1个月的视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(P<0.05)。结论将腰背肌功能锻炼与直腿抬高训练联合指导用于腰椎间盘突出症患者的护理中,能有效提高患者的康复效果,促进腰椎功能恢复,缓解疼痛程度,提高护理满意度,且有操作简便、效果显著、安全等优点,值得临床推广应用。

Objective To investigate the application effect of lower back muscle functional exercise and straight-leg raising training in nursing of lumbar intervertebral disc herniation.Methods A total of 60 patients with lumbar intervertebral disc herniation in our hospital from February 2018 to January 2019 were selected as research subjects.They were divided into control group and observation group according to the method of generating random number by computer program,30 cases in each group.The control group took routine nursing;the observation group added lower back muscle functional exercise and straight-leg raising training based on control group.After intervention,the postoperative recovery of lumbar function,pain degree,total nursing satisfaction,rehabilitation effect were compared between two groups.Results After intervention for 3 months,the score of Japanese Orthopaedic Association(JOA),total nursing satisfaction,total effective rate of rehabilitation in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention for 1,2 weeks and 1 month,the score of visual analogue scale(VAS)in observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Lower back muscle functional exercise and straight-leg raising training in nursing of lumbar intervertebral disc herniation can increase rehabilitation effect,promote recovery of lumbar function,relieve pain degree,increase nursing satisfaction,and have easy operation,significant efficacy and better safety,which is worthy of clinical promotion and application.