全程引领式健康宣教联合臭氧干预在腰椎间盘突出症患者中的应用

Application of Comprehensive Guided Health Education Combined with Ozone Therapy in Patients with Lumbar Disc Herniation

目的探讨全程引领式健康宣教联合臭氧干预在腰椎间盘突出症患者中的应用。方法选取2019年3月至2022年3月在河南省中西结合医院确诊的68例腰椎间盘突出症患者,采用简单随机分组将患者分为联合组和常规干预组,各34例。两组患者均采用臭氧干预,常规干预组患者采用基础护理干预,联合组采用全程引领式健康宣教进行干预,均持续干预3个月。在干预前、干预1个月后和干预3个月后,比较两组患者视觉模拟评分(VAS)。在干预前后,比较两组患者疾病认知度和心理韧性评价量表(CD-RISC)评分;比较两组患者直腿抬高角度、腰背伸高度和腰椎功能评分(JOA)。结果干预后,两组认知度评分均有所提高,且联合组高于常规干预组,差异有统计学意义(P<0.05);干预前,两组患者VAS评分比较,差异无统计学意义(P>0.05);干预1个月后、干预3个月后,联合组VAS评分低于常规干预组,差异有统计学意义(P<0.05)。干预后,两组患者CD-RISC评分均有所升高,且联合组高于常规干预组,差异有统计学意义(P<0.05);干预后,两组患者JOA评分、直腿抬高角度和腰背伸高度均有所提升,且联合组高于常规干预组,差异有统计学意义(P<0.05)。结论全程引领式健康宣教联合臭氧干预能提高腰椎疾病患者的腰椎功能。

Objective To explore the application of comprehensive guided health education combined with ozone therapy in patients with lumbar disc herniation.Methods Sixty-eight patients diagnosed with lumbar disc herniation from March 2019 to March 2022 at Henan Integrated Traditional Chinese and Western Medicine Hospital were selected. Patients were randomly divided into a combined group and a conventional intervention group, with 34 cases in each group. Both groups received ozone therapy, while the conventional intervention group received basic nursing interventions and the combined group received comprehensive guided health education. The interventions were continued for 3 months. Visual Analog Scale (VAS) scores were compared between the two groups before intervention, 1 month after intervention, and 3 months after intervention. The Connor- Davidson Resilience Scale (CD-RISC) were compared between the two groups before and after intervention. The straight leg raising angle, lumbar flexion height, and Japanese Orthopedic Association (JOA) scores were also compared between the two groups. Results After intervention, the scores of disease awareness in both groups increased, with the combined group higher than the conventional intervention group, showing statistical significance (P < 0.05);there was no significant difference in VAS scores between the two groups before intervention (P > 0.05), but 1 month and 3 months after intervention, the VAS scores in the combined group were lower than those in the conventional intervention group, showing statistical significance (P < 0.05). After intervention, the CD-RISC scores of both groups increased, with the combined group higher than the conventional intervention group, showing statistical significance (P < 0.05);the JOA scores, straight leg raising angle, and lumbar flexion height of both groups increased after intervention, with the combined group higher than the conventional intervention group, showing statistical significance (P < 0.05). Conclusion Comprehensive guided health education combined with ozone therapy can improve the lumbar function of patients with lumbar disc herniation.