术前量化训练方法对腰椎间盘突出患者术后锻炼依从性及康复效果的影响

目的：探讨术前量化训练方法对腰椎间盘突出患者术后锻炼依从性及康复效果的影响。方法：将84 例腰椎间盘突出患者随 机分为观察组及对照组各42 例，对照组围手术期间实施常规性护理，观察组围手术期间实施术前量化训练，对比分析两组患者 负性情绪、术后锻炼依从性及康复情况。结果：观察组干预后汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分 低于对照组（P<0.05）。观察组术后锻炼依从率、满意率高于对照组（P<0.05），而并发症发生率低于对照组(P<0.05)。观察组术后疼 痛评分低于对照组（P<0.05），观察组术后下床活动时间及平均住院时间短于对照组（P<0.05）。结论：对腰椎间盘突出患者术前进 行适应手术训练可有效改善患者负性情绪，提高患者术后锻炼依从性，有利于患者术后康复，提高患者康复效果。

Effects of Preoperative Quantitative Training Methods on the Postoperative Exercise Adherence and Rehabilitation of Patients with Lumbar Disc

Objective:To study the effects of preoperative quantitative training method on the postoperative exercise adherence and rehabilitation of patients with lumbar disc.Methods:The selected 84 patients with lumbar disc admitted in our department were randomly divided into the observation group and control group, 42 cases in each group. The control group applied routine nursing care during the perioperation, and the observation group applied preoperative quantitative training during the perioperation. Compared the negative mood, postoperative exercise adherence and recovery between two groups.Results:After the intervention, the Hamilton anxiety scale (HAMA) scores and Hamilton depression scale (HAMD) scores were lower in observation group than in control group (P<0.05). The postoperative exercise compliance rate and satisfaction rate was higher in observation group than in control group (P < 0.05), while the complication rate was lower in observation group than in control group (P<0.05). The postoperative pain scores were lower in observation group (P<0.05), and the postoperative off-bed activity time and the average hospitalization time all were shorter in observation group than in control group (P<0.05).Conclusion:Preoperative quantitative training for patients with lumbar disc could effectively improve the patients'' negative mood, postoperative exercise adherence. It is beneficial to postoperative rehabilitation patients with lumbar disc.