动机行为转化康复模式下个体化管理对骨质疏松性腰椎压缩骨折患者的术后护理效果OA
Effect of individualized management under the motivational behavior transformation rehabilitation model on postoperative nursing outcomes in patients with osteoporotic lumbar compression fractures
目的 探讨动机行为转化康复模式下的个体化管理在骨质疏松性腰椎压缩骨折(OLCF)患者护理中的应用效果.方法 纳入OLCF患者126例,随机分为对照组和研究组,每组63例.对照组采用常规护理,研究组采用动机行为转化康复模式下个体化管理.比较2组术后首次下床活动时间、住院时间、依从性评分、疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、日常生活能力(ADL)评分、术后不良反应发生率和满意度.结果 研究组术后首次下床时间和住院时间均短于对照组,差异有统计学意义(P＜0.05).重复测量方差结果显示,分组主效应、时间主效应、分组×时间的交互效应均有统计学意义(P＜0.05).2组术后依从性评分、ADL评分均高于干预前,且研究组均高于对照组,差异有统计学意义(P＜0.05).2组术后VAS评分、ODI评分均低于干预前,且研究组均低于对照组,差异有统计学意义(P＜0.05).研究组术后不良反应总发生率为6.35％,低于对照组的23.81％,研究组满意度高于对照组,差异有统计学意义(P＜0.05).结论 动机行为转化康复模式下的个体化管理干预能有效提高OLCF患者术后的恢复效果和依从性,缩短住院时间,改善疼痛控制与功能恢复,降低术后不良反应的发生率.
Objective To explore the application effect of individualized management under the motivational behavior transformation rehabilitation model in nursing in patients with osteoporotic lumbar compression fractures(OLCF).Methods A total of 126 OLCF patients were enrolled and randomly divided into control group and study group,with 63 cases in each group.The control group received conventional nursing care,while the study group underwent individualized management under the moti-vational behavior transformation rehabilitation model.Outcomes between the two groups included time to first ambulation after surgery,hospital stay duration,compliance score,Visual Analogue Scale(VAS)score for pain,Oswestiy Disability Index(ODI)score,Activities of Daily Living(ADL)score,incidence of postoperative adverse reactions,and satisfaction.Results The time to first ambu-lation and hospital stay duration in the study group were significantly shorter than those in the control group(P＜0.05).Repeated measures analysis of variance(ANOVA)revealed statistically significant main effects of group and time,as well as a significant group ×time interaction(P＜0.05).Postoperative compliance scores and ADL scores in both groups were higher than pre-intervention levels,with the study group showing significantly higher scores than the control group(P＜0.05).Postoperative VAS and ODI scores in both groups were lower than pre-intervention levels,and the study group demonstrated significantly lower scores than the control group(P＜0.05).The total incidence of postoperative adverse reactions in the study group was 6.35％,which was lower than 23.81％in the control group,satisfaction in the study group was significantly higher than that in the control group(P＜0.05).Conclusion Individualized management under the motivational behavior transforma-tion rehabilitation model effectively improves postoperative recovery outcomes and compliance in OLCF patients,shortens hospital stay,enhances pain control and functional recovery,and reduces the incidence of postoperative adverse reactions.
张亚玲;王玲娟;鲜航;罗梅梅;裴国清;黑秀秀
中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032中国人民解放军空军军医大学第一附属医院骨科,陕西西安,710032
医药卫生
动机行为转化康复护理个体化管理骨质疏松性腰椎压缩骨折术后护理依从性日常生活能力功能恢复
motivational behavior transformationrehabilitation nursingindividualized man-agementosteoporotic lumbar compression fracturepostoperative nursingcomplianceactivities of daily livingfunctional recovery
《实用临床医药杂志》 2026 (5)
127-131,5
国家自然科学基金资助项目(82302681)
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