个体化时间康复训练方案对脊柱外科患者术后训练依从度、心理状态及功能恢复的影响

摘要

目的:探讨个体化时间康复训练方案对脊柱外科患者术后训练依从度、心理状态及功能恢复的影响.方法:选取2015年7月至2016年7月南通大学附属医院收治的200例行脊柱外科手术患者为研究对象,随机将其分为研究组和对照组,每组100例.对照组实施常规护理干预,研究组在对照组基础上另实施个体化时间康复训练干预,对两组护理前、后训练依从度、心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]及功能恢复情况[日常生活能力量表(ADL)评分]进行观察比较.结果:护理前,两组训练依从度、SAS、SDS及ADL评分比较差异均无统计学意义(均P＞0.05);护理后1周,两组完全依从率均较护理前明显升高,且护理后研究组完全依从率较对照组明显升高(P＜0.05);两组SAS、SDS评分均低于护理干预前,且研究组SAS、SDS评分均低于对照组(均P＜0.05).护理后2～6个月,两组ADL评分均较护理前明显增加,且研究组ADL评分均明显高于对照组,差异均具有统计学意义(均P＜0.05).结论:个体化时间康复训练方案能显著提高脊柱外科患者术后训练依从度,并有效改善患者术后焦虑、抑郁不良情绪,对患者术后功能恢复效果佳.%Objective:To investigate the effect of individualized rehabilitation training program on compliance,mental state and functional recovery of patients after spinal surgery.Methods:200 patients undergoing spinal surgery in our hospital from July 2015 to July 2016 were selected and divided into a study group and a control group,with 100 cases in each group.The patients in the control group received routine nursing care after surgery,while those in the study group received individualized rehabilitation training intervention.The training compliance,mental state and functional recovery were observed and compared between the two groups.Results:Before rehabilation,there were no significant differences in training compliance,self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores and the activities of daily living (ADL) scores between the two groups (P ＞0.05).The complete compliance rates were increased in both group,and the change was more significant in the study group compared to the control group (P ＜0.05) after one week intervention.The SAS and SDS scores were lower than those before rehabilitation and the scores after intervention in the study group was significant lower than those in the control group.After 2 to 6 months rehabilitation training,the ADL scores in both groups were increased,and the changes were more significant in the study group than the control group (P ＜0.05).Conclusion:Individualized rehabilitation training program could effectively improve training compliance of patients after spinal surgery,relieve postoperative anxiety and depression,and promote recovery.