113例慢性下腰痛患者的自我管理行为现状及影响因素分析

摘要

目的：调查慢性下腰痛患者自我管理行为现状及其影响因素。方法采用中文版慢性病自我管理行为量表，对113例慢性下腰痛患者进行问卷调查。结果用 SPSS 16.0软件进行统计分析。慢性下腰痛患者总的运动锻炼时间为(168.72±148.97)分/周，其中体能锻炼时间和耐力锻炼时间分别为(24.56±48.48)分/周和(144.16±132.12)分/周，认知性症状管理实践得分为(1.70±0.74)，与医生的沟通得分为(2.10±1.05)。治疗方式、骨折/外伤史影响慢性下腰痛患者的自我管理行为(P<0.05)。结论慢性下腰痛患者的自我管理行为存在问题，体现在运动锻炼时间较少，运动锻炼方式较单一，认知性症状管理实践运用较少，与医生的沟通不理想。%Objective To investigate the self-management behaviors status of patients with chronic low back pain and its influencing factors. Methods A questionnaire survey was performed for 1 1 3 patients with chronic low back pain by using The Chinese version of Chronic Disease Self-management Behaviors Scale. Results An SPSS1 6 .0 software was used for statistical analysis.The total exercise time of patients with chro-nic low back pain was (168.72±148.97)minutes per week,of which physical fitness exercise time and endur-ance exercise time were (24.56±48.48)minutes per week and (144.16±132.12)minutes per week,respec-tively.The mean score of cognitive symptom management was (1.70±0.74).The mean score of communica-tion with physicians was (2.10±1.05).The self-management behaviors of patients with chronic low back pain were impacted by treatment option,fracture/trauma history (P<0.05). Conclusion The self-man-agement behaviors of patients with chronic low back pain were quite poor,mainly reflected in less exercise time,single type of exercise,less used of cognitive symptom management skills in practice,and not enough communication with physicians.