稳定肌训练联合延续性护理对颈椎病患者颈椎功能及生活质量的影响

Effect of stabilizing muscle training on cervical function and quality of life in continuous nursing care of patients with cervical spondylosis

目的:探讨在颈椎病患者的延续性护理中应用稳定肌训练对颈椎功能及生活质量的影响。方法:采用便利抽样法,选取2018年6月—2019年6月在郑州大学第一附属医院就诊的98例颈椎病患者,经随机数字表法分为对照组与观察组。在治疗及随访过程中两组共脱落15例,最终纳入对照组42例、观察组41例。对照组出院后采用常规延续性护理,观察组在常规延续性护理的基础上联合稳定肌训练。比较两组干预前、干预3个月后、干预6个月后的日本矫形外科协会(JOA)评分、颈椎功能障碍指数(NDI)评分变化,对比两组患者干预后的健康调查量表(SF-36)评分。结果:两组患者干预前、干预后3个月和6个月的JOA评分、NDI评分的重复测量方差分析结果显示均存在交互、组间、时间效应,差异均有统计学意义(P<0.01)。干预后观察组的SF-36量表中各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:在颈椎病患者的延续性护理中应用稳定肌肉训练更利于缓解肌肉紧张,改善症状,并可提高患者的生活质量。

Objective To explore the effect of stabilizing muscle training on cervical function and quality of life in continuous nursing care of patients with cervical spondylosis.Methods From June 2018 to June 2019,a total of 98 patients with cervical spondylosis in the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling method,and divided into control group and observation group by random number table method.In the course of treatment and follow-up,15 cases were lost in the two groups,and 42 cases were included in the control group and 41 in the observation group.The control group was given routine continuous nursing after discharge,and the observation group was given stabilizing muscle training on the basis of routine continuous nursing.The scores of Japanese Orthopedic Association(JOA)and Neck Disability Index were compared before intervention,3 months after intervention and 6 months after intervention between the two groups.The scores of Short Form 36 Health Survey Questionnaire(SF-36)were compared after intervention between the two groups.Results The results of repeated measurement ANOVA of JOA score and NDI score before intervention,3 months and 6 months after intervention showed that there were interaction,inter group and time effects,and the differences were statistically significant(P<0.01).After the intervention,the scores of SF-36 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions In the continuous nursing of patients with cervical spondylosis,the application of stabilizing muscle training is more conducive to relieve muscle tension,improve symptoms,and improve the quality of life of patients.