基于动机行为转化的康复宣教在老年胸腰椎压缩性骨折患者中的应用

Application of rehabilitation education based on motivation behavior transformation in elderly patients with thoracolumbar compression fractures

目的探讨基于动机行为转化的康复宣教在老年胸腰椎压缩性骨折患者康复中的应用效果。方法将2022年1~12月在第九〇九医院接受常规宣教的54例老年胸腰椎压缩性骨折患者纳入对照组,另将同期接受动机行为转化下康复宣教的54例同类型患者纳入观察组。比较2组的心理状态、康复依从性、康复情况、生活质量和满意率。结果干预1个月后,观察组的心理状态评分均低于对照组(P均<0.05),锻炼时间、锻炼部位、锻炼动作和锻炼积极性各项依从性评分均高于对照组(P均<0.05),康复情况评分高于对照组(P<0.05),生活质量各项评分均高于对照组(P均<0.05),满意率也高于对照组(P<0.05)。结论基于动机行为转化对老年胸腰椎压缩性骨折患者开展康复宣教,有助于转变其不良心态及其依从性,加快康复速度,并有助于提高患者的生活质量和满意率。

Objective To explore the application effect of rehabilitation education based on motivation behavior transformation in the rehabilitation of elderly patients with thoracolumbar compression fractures.Methods A total of 54 elderly patients with thoracolumbar compression fractures who received routine education at the 909th Hospital from January to December 2022 were included in the control group,and 54 patients of the same type who received rehabilitation education under motivation behavior transformation during the same period were included in the observation group.The psychological state,rehabilitation compliance,rehabilitation situation,quality of life and satisfaction rate of the two groups were compared.Results After one month of intervention,the psychological state scores of the observation group were lower than those of the control group(both P<0.05),and the compliance scores of exercise time,exercise location,exercise movements,and exercise enthusiasm were higher in the observation group than in the control group(all P<0.05).The rehabilitation score of the observation group was higher than that of the control group after one month of intervention(P<0.05).After one month of intervention,the quality of life scores of the observation group were higher than those of the control group in all aspects(all P<0.05).The satisfaction rate of the observation group was also higher than that of the control group(P<0.05).Conclusion Rehabilitation education based on motivation behavior transformation for elderly patients with thoracolumbar compression fractures is helpful to change their negative mentality and compliance,accelerate the speed of rehabilitation,and improve the quality of life and satisfaction rate of patients.