CBB理念导向的康复管理在骨质疏松性胸腰椎骨折患者用药期间的效果观察

Effect of CBB Concept-oriented Rehabilitation Management on Patients with Osteoporotic Thoracolumbar Fractures During Medication

目的:探讨认知—行为—信念(CBB)理论导向的康复管理对骨质疏松性胸腰椎骨折(OTLF)患者服药依从性和自我管理能力的影响。方法:选取2021年7月—2024年3月在平顶山市第一人民医院骨科收治的OTLF患者110例,根据随机数字表法分为对照组(n=55)和观察组(n=55)。对照组予以常规干预措施,观察组予以CBB理念导向的康复管理,比较两组服药依从性[Morisky用药依从性问卷(MMAS-8)]、自我管理能力(慢性病自我管理行为量表)、健康行为能力[健康行为能力自评量表(SRAHP)]、生活质量[生活质量综合评定问卷(GQOLI-74)]。结果:观察组服药依从性高于对照组(P<0.05);观察组自我管理能力各维度(运动锻炼、认知症状管理与实践、医患沟通)评分、SRAHP评分及GQOLI-74各维度(心理功能、社会功能、躯体功能和物质生活状态)评分均高于对照组(P<0.05)。结论:CBB理念导向的康复管理应用于OTLF患者中可提高服药依从性、自我管理能力和生活质量,并有助于增强健康行为能力。

Objective: To explore the effect of cognitive-behavior-belief(CBB) theory-oriented rehabilitation management on medication adherence and self-management ability in osteoporotic thoracolumbar fracture(OTLF) patients. Methods: A total of 110 patients with OTLF were selected from July 2021 to March 2024 in the Department of Orthopedics, Pingdingshan First People's Hospital of, and they were divided into control group(n=55) and observation group(n=55) according to random number table method. The control group was given routine intervention measures, and the observation group was given CBB concept-oriented rehabilitation management. The medication compliance [Morisky medication compliance questionnaire(MMAS-8)], self-management ability(chronic disease self-management behavior scale), health behavior ability [self-rating health behavior ability scale(SRAHP)], quality of life [comprehensive quality of life assessment questionnaire(GQOLI-74)] were compared between the two groups. Results: The medication compliance of the observation group was higher than that of the control group(P<0.05). The scores of self-management ability(exercise, cognitive symptom management and practice, doctor-patient communication), SRAHP and GQOLI-74(psychological function, social function, physical function and material life status) in the observation group were higher than those in the control group(P<0.05). Conclusion: The application of CBB concept-oriented rehabilitation management in OTLF patients can improve medication compliance, self-management ability and quality of life, and help to enhance health behavior ability.