正强化理论结合康复训练对腰椎骨折患者术后康复的影响

Effect of positive reinforcement theory combined with rehabilitation training on postoperative rehabilitation of patients with lumbar fractures

目的探讨正强化理论结合康复训练对腰椎骨折患者术后康复的影响。方法选择本院2019年4月~2021年2月期间收治的80例腰椎骨折术后患者,随机分为对照组(n=39)和观察组(n=41),对照组给予常规护理,观察组在上述基础实施正强化理论结合康复训练干预,两组患者均连续干预2周,比较两组患者术后住院时间以及下床活动时间,以及干预前后疼痛情况、日常生活能力、腰椎功能恢复情况、生活质量。结果观察组术后住院时间以及下床活动时间均短于对照组,差异有统计学意义(P<0.05);干预后,两组患者SAS、HAMD评分以及VAS评分、ODI指数均显著下降,且观察组显著低于对照组(P<0.05);干预后,两组患者ADL评分以及SF-36生活质量各维度评分均显著上升,且观察组优于对照组(P<0.05)。结论正强化理论结合康复训练应用于腰椎骨折患者,可有效促进术后康复,减少疼痛,改善日常生活能力及腰椎功能,从而提高生活质量。

Objective To investigate the effect of positive reinforcement theory combined with rehabilitation training on postoperative rehabilitation of patients with lumbar fractures.Methods A total of 80 patients who had undergone surgery for lumbar fractures in the hospital between April 2019 and February 2021 were selected as the research subjects.They were randomly divided into control group(n=39)and observation group(n=41).The control group received routine nursing,and the observation group received positive reinforcement theory combined with rehabilitation training intervention on this basis.Both groupswere given 2 weeks of intervention.The length of postoperative hospital stay,ambulation time,pain,activities of daily living,lumbar function recovery and quality of life were compared between the two groups.Results The postoperative hospital stay and out of bed activity time in the observation group were shorter than those in the control group(P<0.05);After the intervention,the scores of SAS,HAMD,VAS and ODI in the two groups decreased significantly,and the observation group was significantly lower than that in the control group(P<0.05);After the intervention,the ADL score and SF-36 quality of life scores of the two groups increased significantly,and the observation group was better than the control group(P<0.05).Conclusion Applying positive reinforcement theory combined with rehabilitation trainingto patients with lumbar fractures can effectively promote postoperative recovery,reduce pain,improve activities of daily living and lumbar function,thereby improving quality of life.