基于康复路径的功能锻炼结合积极心理干预在腰椎间盘突出症微创手术中的临床应用价值

Clinical application value of functional exercise based on rehabilitation path combined with positive psychological intervention in minimally invasive surgery for lumbar disc herniation

目的探讨基于康复路径的功能锻炼结合积极心理干预在腰椎间盘突出症微创手术中的临床应用价值。方法选取80例腰椎间盘突出症微创手术患者为研究对象,随机将其分为对照组和观察组,各40例。对照组采用常规护理干预,观察组采用基于康复路径的功能锻炼结合积极心理干预。比较两组的干预效果。结果干预后,观察组的坚韧、自强及乐观评分高于对照组(P<0.05)。干预后,观察组的积极举动、康复护理配合度评分高于对照组,放弃举动评分低于对照组(P<0.05)。干预后,观察组的视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分低于对照组,日本骨科协会评估治疗分数(JOA)评分高于对照组(P<0.05)。干预后,观察组的生理、心理及社会适应性评分均高于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论基于康复路径的功能锻炼结合积极心理干预可提高腰椎间盘突出症微创手术患者的心理弹性和康复锻炼积极性,促进疼痛减轻和功能改善,提高生活质量及护理满意度。

Objective To explore the clinical application value of functional exercise based on rehabilitation path combined with positive psychological intervention in minimally invasive surgery for lumbar disc herniation.Methods A total of 80 patients with minimally invasive surgery for lumbar disc herniation were selected as the study objects and randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given functional exercise based on rehabilitation path combined with positive psychological intervention.The intervention effects of the two groups were compared.Results After intervention,the scores of tenacity,self-improvement and optimism in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of positive behavior and rehabilitation nursing cooperation in the observation group were higher than those in the control group,and the score of abandonment behavior was lower than that in the control group(P<0.05).After intervention,the Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)scores of the observation group were lower than those of the control group,and the Japanese Orthopaedic Association(JOA)score was higher than that of the control group(P<0.05).After intervention,the physiological,psychological and social adaptability scores of the observation group were higher than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Functional exercise based on rehabilitation path combined with positive psychological intervention can improve the psychological elasticity and rehabilitation exercise enthusiasm of patients with minimally invasive surgery for lumbar disc herniation,promote pain relief and functional improvement,and improve the quality of life and nursing satisfaction.