基于行为分阶段转变理论模型的健康干预对非特异性下腰痛患者健康生活方式的影响

Effect of Health Intervention Based on the Theoretical Model of Behavior Staged Change on Healthy Lifestyle of Patients with Nonspecific Low Back Pain

目的分析基于行为分阶段转变理论模型的健康干预对非特异性下腰痛(LBP)患者健康生活方式的影响。方法选取某院2018年1月—2019年12月收治的非特异性LBP患者106例,其中2018年1月—2018年12月接受常规护理干预的52例患者作为对照组,2019年1月~2019年12月基于常规护理干预予以行为分阶段转变理论模型健康干预的54例患者作为研究组。使用焦虑自评量表(SAS)、抑郁自评量表(SDS)、简明健康状况表(SF-36)和健康促进生活方式量表(HPLP)对比两组干预前后心理状态。结果两组干预后的HPLP评分均高于干预前,且研究组高于对照组(P<0.05)。干预后,研究组的SDS、SAS评分小于对照组(P<0.05)。两组干预后的SF-36评分均高于干预前,且研究组高于对照组(P<0.05)。结论行为分阶段转变理论模型健康干预运用于非特异性LBP患者护理中,可提高健康行为,减轻负性情绪,增强生活质量。

Objective To analyze the effect of health intervention based on the theory model of behavior staged change on healthy lifestyle of patients with nonspecific low back pain(LBP).Methods A total of 106 cases of non-specific LBP patients in a hospital from January 2018 to December 2019 were selected,of which 52 cases received routine nursing intervention from January 2018 to December 2018 as the control group,and 54 cases of health intervention based on the theoretical model of behavior staged change based on routine nursing intervention from January 2019 to December 2019 were selected as the research group.The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Short-Form-36 Health Survey(SF-36),and Health Promoting Lifestyle Profile(HPLP)were compared.Results After intervention,the HPLP score of the two groups was higher than that before the intervention,and the study group was higher than the control group(P<0.05);the SDS and SAS scores of the study group were lower than those of the control group after the intervention(P<0.05).The SF-36 score of the two groups after intervention was higher than that before the intervention,and the research group was higher than the control group(P<0.05).Conclusion Health intervention based on the theory model of behavior staged transformation can improve health behavior,reduce negative emotions,and enhance the quality of life of patients with nonspecific LBP.