Application of rehabilitation exercise program for surgical patients with prolapse of lumbar intervertebral disc
10.3760/cma.j.issn.1674-2907.2013.22.010
- VernacularTitle:康复锻炼计划在腰椎间盘突出症手术患者中的应用
- Author:
Su-Bi HUANG
1
;
Kang LIU
;
Ke CHEN
;
Jie-Min ZHANG
;
Li DU
;
Zhu CHEN
Author Information
1. 637000,四川省南充市中心医院护理部
- Keywords:
Lumbar disc herniation;
Surgical treatment;
Rehabilitation exercise;
Quality of life
- From:
Chinese Journal of Modern Nursing
2013;19(22):2634-2637
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of rehabilitation exercise program on surgical patients with prolapse of lumbar intervertebral disc.Methods Rehabilitation exercise program was formulated.70 patients with prolapse of lumbar intervertebral disc who had enestration operation or hemilaminectomy discectomy were randomly divided into the observation group and the control group,each with 35 cases.The observation group had rehabilitation exercise program for intervention,while the control group only received materials including written rehabilitation exercise methods and postoperative announcements to guide self-exercise.Chinese Medical Association of Orthopaedics was used to evaluate the excellent rate of clinical effect,and SF-36 was used to compare patients' health related quality of life before and one year after the surgery.Results 61 out of 70 patients finished the follow-up for a year,in which 31 were the observation group and 30 were the control group.9 cases lost contact,with the rate of 12.8％.The excellent rate of curative effect was 93.5％ in the observation group and 73.3％ in the control group,and the difference was statistically significant (x2 =4.063,P ＜0.05).There was no statistically significant difference in SF-36 scores before surgery (P ＞ 0.05).But one year after the surgery,the score of physiological function,psychological function,body pain,overall health,vitality,social function,emotional function and mental health in SF-36 was respectively (55.4 ± 11.2),(49.6 ± 7.5),(78.1±10.5),(67.5±14.5),(72.3±12.2),(77.0±18.1),(68.6±23.2) and (78.9±10.3) in the observation group,all of which were higher than those in the control group,and the differences were statistically significant (t =2.643,4.321,3.012,2.102,2.412,2.210,2.120,2.321,respectively; P ＜ 0.05).Conclusions Rehabilitation exercise program for surgical patients with prolapse of lumbar intervertebral disc can help improve their clinical effect and postoperative quality of life obviously,which is worthy of clinic application.
