颈椎病患者术后功能锻炼依从性的纵向调查

Longitudinal investigation of postoperative functional exercise compliance in patients with cervical spondylosis

目的了解颈椎病患者术后功能锻炼依从性变化,探讨功能锻炼依从性的影响因素。方法于2021年6月—2022年8月在海军军医大学第二附属医院对择期行颈椎手术患者开展纵向调查研究,每间隔3周调查1次颈椎病术后患者功能锻炼锻炼依从性,连续进行30周。出院时调查与收集患者的一般资料、手术方式、恐惧运动情况、人格特征及自我控制能力。根据功能锻炼依从性状况绘制散点图,计算整体功能锻炼依从性,并模拟最佳拟合曲线。采用单因素与多重线性回归分析患者术后功能锻炼依从性的影响因素。结果共96例颈椎病患者完成了30周的调查研究,术后30周患者整体功能锻炼依从性指数平均为64.29±10.07,完全依从12例(12.50%),中等依从61例(63.54%),低度依从23例(23.96%)。术后30周多数患者的功能锻炼依从性处于中等依从水平。单因素分析显示,文化程度、年收入、恐动症、人格特征、自我控制力因子下的整体功能锻炼依从性差异有统计学意义(P<0.05)。多重线性回归分析显示,文化程度、年收入、恐动症、人格特征及自我控制能力是颈椎病患者术后30周功能锻炼依从性的影响因素(P<0.05)。结论本次调查的颈椎病患者术后30周内功能锻炼依从性整体呈中等依从水平,文化程度、年收入、恐动症、人格特征及自我控制能力是颈椎病患者术后30周功能锻炼依从性的影响因素。

Objective To understand the changes in postoperative functional exercise compliance in patients with cervical spondylosis and explore the influencing factors of functional exercise compliance was as the study subject.Methods A longitudinal survey was conducted from June 2021 to August 2022 at the Second Affiliated Hospital of Naval Medical University on patients who underwent elective cervical spine surgery.The functional exercise compliance of patients with cervical spondylosis after surgery was investigated every 3 weeks,for a continuous period of 30 weeks.At discharge,investigate and collect general information,surgical methods,fear of movement,personality traits,and self-control ability of patients.We draw a scatter plot based on the compliance status of functional exercise,calculate the overall compliance of functional exercise,and simulate the best fit curve.And single factor and multiple linear regression were used to analyze the influencing factors of postoperative functional exercise compliance in patients.Results A total of 96 patients with cervical spondylosis were surveyed and studied for 30 weeks.After 30 weeks of surgery,the average overall functional exercise compliance index of patients was 64.29±10.07,with 12 cases(12.50%)of complete compliance,61 cases(63.54%)of moderate compliance,and 23 cases(23.96%)of low compliance.At 30 weeks after surgery,the compliance of most patients with functional exercise was at a moderate level.Univariate analysis showed that there were statistically significant differences in overall functional exercise compliance under factors such as education level,annual income,kinesiophobia,personality traits,and self-control(P<0.05).Multiple linear regression analysis showed that the education level,annual income,kinesiophobia,personality traits and self-control ability were the influencing factors of functional exercise compliance in patients with cervical spondylosis after 30 weeks of surgery(P<0.05).Conclusion The functional exercise compliance of the cervical spondylosis patients surveyed within 30 weeks after surgery showed an overall moderate level of compliance,the education level,annual income,kinesiophobia,personality traits and self-control ability were the influencing factors of functional exercise compliance in patients with cervical spondylosis after 30 weeks of surgery.