颈椎病患者颈椎运动行为阶段现状及其影响因素研究

Study on the Status and Influencing Factors of Cervical Spine Motor Behavior in Patients with Cervical Spondylosis

目的:调查颈椎病患者颈椎运动行为阶段分布现状及其影响因素,为实施针对性运动指导提供借鉴。方法:选择福州某三甲医院2021年1—8月期间骨科门诊就诊的颈椎病患者,采用一般资料调查表、颈椎运动行为阶段变化量表、运动自我效能量表和Herth希望量表进行调查。结果:不同颈椎运动行为阶段所占的患者比例为前意向阶段17.6%、意向阶段24.2%、准备阶段37.3%、行动阶段14.4%、维持阶段6.5%。Logistic回归分析显示,病程、运动自我效能、对现实和未来的积极态度、采取积极的行动、与他人保持亲密的关系是影响颈椎病患者颈椎运动行为阶段分布的主要因素(P<0.05)。结论:颈椎病患者的颈椎运动行为现状不理想,大多数患者仍未进行规律的颈椎运动,建议今后临床可根据患者所处的运动行为阶段及影响因素制定个性化健康教育策略,以帮助患者建立和维持规律的颈椎运动行为。

Objective:To investigate the distribution and influencing factors of cervical motor behavior in patients with cervical spondylosis.Methods:Patients with cervical spondylosis who visited orthopedic outpatient department of a Grade A Hospital in Fuzhou from January to August 2021 were selected.The general data questionnaire,the Exercise Stages of Changes Scale,the Self-Efficacy for Exercise Scale and the Herth Hope Index Scale were used for investigation.Results:The proportion of patients with different cervical motion behavior stages were 17.6%in the pre-intention stage,24.2%in the intention stage,37.3%in the preparation stage,14.4%in the action stage,and 6.5%in the maintenance stage.Logistic regression analysis showed that the course of disease,self-efficacy for exercise,positive attitude towards reality and the future,taking positive actions and maintaining close relationship with others were the main factors affecting the distribution of cervical spine motor behavior stage in patients with cervical spondylosis(P<0.05).Conclusion:The current situation of cervical spine motor behavior in patients with cervical spondylosis is not ideal,and most patients still do not conduct regular cervical spine motor.It is suggested that personalized health education strategies can be developed according to the stage of patients’cervical spine motor behavior and influencing factors in clinical practice in the future,so as to help patients establish and maintain regular cervical spine motor behavior.