强直性脊柱炎疼痛患者运动锻炼状况及影响因素分析

Physical exercise level in patients suffering pain from ankylosing spondylitis:the influencing factors

目的了解强直性脊柱炎疼痛患者运动锻炼状况及影响因素,为临床针对性干预提供参考。方法采用便利抽样法,调查151例强直性脊柱炎患者过去1周运动锻炼行为、疼痛强度及其影响、脊柱活动度,分析患者运动锻炼的影响因素。结果患者运动锻炼总时间为105. 0(15. 0,225. 0) min/周,体能锻炼和耐力锻炼时间分别为0(0,15. 0) min/周和60. 0(15. 0,195. 0) min/周。88例(58. 28%)患者运动锻炼时间不足150 min/周。指地距离、晨僵、与医生交流情况是影响患者参与运动锻炼的主要因素(P <0. 05,P <0. 01)。结论强直性脊柱炎患者运动锻炼不足。医护患三方应共同制定并实施个性化的运动方案,提高患者锻炼的依从性,以有效改善躯体活动度,延缓疾病进展。

Objective To investigate physical exercise level in patients suffering pain from ankylosing spondylitis( AS),to explore the influencing factors,and provide references for clinical interventions. Methods A convenience sample of 151 AS patients was recruited and investigated regarding physical exercises,intensity and influence of pain,and spinal mobility in the last week,then factors influencing patient participation in physical exercises were analyzed. Results The median time spent in physical exercises in the patients was 105. 0( IQR 15.0,225. 0) min/week,with the median time in stretching/strengthening exercises and a erobic exercises being 0( IQR 0,15. 0) min/week,60. 0( IQR 15. 0,195. 0) min/week. Eighty-eight( 58. 28%) patients spent less than 150 min/week in physical exercises. The finger to floor distance,morning stiffness and communication with physicians were the main factors influencing patient participation in physical exercises( P < 0. 05,P < 0. 01). Conclusion Physical exercises in AS patients were inadequate. To improve patients’ adherence to physical exercises,involvement of physicians,nurses,and patients is needed to develop individualized exercise plans.