椎管内肿瘤患者运动安全预警体系的构建与干预策略

Construction of exercise safety early warning system and intervention strategies for patients with intraspinal tumors

目的:探讨椎管内肿瘤患者运动安全预警体系的构建与干预策略。方法:选择2021年1月至2022年1月南京大学医学院附属鼓楼医院收治的140例椎管内肿瘤患者,随机分为对照组与研究组,各70例。对照组实施术后常规康复治疗,研究组基于危机管理模型,构建术后运动安全管理体系并实施康复治疗。比较两组术后疼痛程度、术后恢复情况、手术前后负性情绪、恐动症变化、术后神经功能恢复情况及术后并发症发生率。结果:研究组术后12、24、48、72 h疼痛程度评分均低于对照组(均P<0.05);研究组术后下床活动时间、术后住院时间均短于对照组(均P<0.05);两组术后3个月汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分均明显降低,且研究组低于对照组(均P<0.05);两组术后3个月恐动症评分明显降低,且研究组低于对照组(P<0.05);研究组神经功能恢复优良率高于对照组(P<0.05);研究组术后总并发症发生率为7.14%(5/70),低于对照组(P<0.05)。结论:构建椎管内肿瘤患者术后运动安全管理体系并实施康复治疗不仅可减轻患者疼痛程度,减少并发症发生,还可促进术后恢复,缓解焦虑、抑郁情绪及恐动症。

Objective: To explore the construction and intervention strategies of exercise safety early warning system for patients with intraspinal tumors. Methods: A total of 140 patients with intraspinal tumors who were admitted to the Drum Tower Hospital Affiliated to Nanjing University School of Medicine from January 2021 to January 2022 were selected and randomly divided into a control group and a research group, with 70 cases in each group. The control group received routine postoperative intervention, while the research group constructed a postoperative sports safety management system and implemented interventions based on the crisis management model. The degree of postoperative pain, postoperative recovery, changes in negative emotions, dyskinesia, postoperative neurological recovery, and postoperative complications before and after the surgery were compared between the 2 groups. Results: The pain scores of the research group at 12, 24, 48, and 72 h after the operation were lower than those of the control group(all P<0.05);the postoperative ambulation time and postoperative hospital stay in the research group were shorter than those in the control group(both P<0.05);the HAMA and HAMD scores in the 2 groups were significantly decreased 3 months after the operation, and the research group were lower than those in the control group(both P<0.05);the excellent and good rate of neurological function recovery in the research group was higher than that in the control group(P<0.05);the total postoperative complication rate in the research group was 7.14%(5/70), which was lower than that in the control group(P<0.05). Conclusion: Constructing a postoperative exercise safety management system and implementing interventions for patients with intraspinal tumors can not only reduce the degree of pain, reduce the occurrence of complications, but also promote postoperative recovery and relieve patients? anxiety, depression and kinesiophobia.