认知行为干预结合分阶段康复训练在强直性脊柱炎患者中的应用效果

Application Effect of Cognitive Behavioral Intervention Combined with Phased Rehabilitation Training in Patients with Ankylosing Spondylitis

目的:探讨认知行为干预结合分阶段康复训练在强直性脊柱炎患者中的应用效果。方法:选取2021年6月—2023年1月南华大学附属第二医院收治的126例强直性脊柱炎患者为研究对象,根据随机数表法分为试验组和参照组,参照组患者实施常规护理措施,试验组患者实施认知行为干预结合分阶段康复训练,比较两组患者干预前后肢体功能、生活质量、康复指标和自我管理能力。结果:干预前,两组患者肢体功能、生活质量、康复指标比较,差异无统计学意义(P>0.05);干预后,两组患者肢体功能均明显改善,且试验组患者Bath强直性脊柱炎疾病活动性指数(BASDAI)评分和Bath强直性脊柱炎功能指数(BASFI)评分均低于参照组,差异有统计学意义(P<0.05);干预后,两组患者生活质量均明显改善,且试验组患者躯体功能、心理功能、健康状况和社会功能评分均明显高于参照组,差异有统计学意义(P<0.05);干预后,两组患者康复指标均改善,试验组患者扩胸度和Schober试验距离高于参照组,枕墙距和晨僵时间均少于参照组,差异有统计学意义(P<0.05);干预后,试验组患者饮食管理、依从性管理、症状管理和日常生活管理评分均高于参照组,差异有统计学意义(P<0.05)。结论:认知行为干预结合分阶段康复训练可提高强直性脊柱炎患者肢体功能,改善患者生活质量,促进患者康复,提高患者自我管理能力。

Objective:To explore the effects of cognitive behavioral intervention combined with phased rehabilitation training in patients with ankylosing spondylitis.Method:A total of 126 patients with ankylosing spondylitis admitted to the Second Affiliated Hospital of the University of South China from June 2021 to January 2023 were selected and they were divided into experimental group and reference group according to the random number table method.Patients in the reference group were given routine nursing measures,and patients in the experimental group were given cognitive behavioral intervention combined with phased rehabilitation training.The limb function,quality of life,rehabilitation indicators and self-management ability of the two groups were observed and compared before and after intervention.Result:Before intervention,there were no significant differences in limb function,quality of life and rehabilitation indexes between the two groups(P>0.05).After intervention,limb function was significantly improved in both groups,and the scores of Bath ankylosing spondylitis disease activity index(BASDAI)and Bath ankylosing spondylitis function index(BASFI)in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the quality of life of patients in both groups was significantly improved,and the scores of physical function,psychological function,health status and social function of patients in the experimental group were significantly higher than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the rehabilitation indexes in both groups was improved,and the degree of chest enlargement and Schober test distance in the experimental group were higher than those in the reference group,and the distance of occipital wall and morning stiffness time in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the scores of diet management,compliance management,symptom management and daily life management in the experimental group were higher than those in the reference group,the differences were statistically significant(P<0.05).Conclusion:Cognitive behavioral intervention combined with phased rehabilitation training can improve the limb function,improve the quality of life,promote the rehabilitation of patients and improve the self-management ability of patients with ankylosing spondylitis.