Effect of pre-programmed guidance of functional exercise on exercise compliance and accuracy of patients after lumbar surgery
10.3760/cma.j.issn.1674-2907.2017.29.017
- VernacularTitle:前置化功能锻炼指导对腰椎术后患者锻炼依从性和准确性的影响
- Author:
Keqi ZHONG
1
;
Lan FENG
;
Shanshan SONG
;
Haiqiong ZHANG
;
Meiying LI
;
Yurong ZHENG
Author Information
1. 南方医科大学南方医院脊柱骨科
- Keywords:
Lumbar spinal diseases;
Functional exercise;
Adherence;
Accuracy;
Orthopedic surgery
- From:
Chinese Journal of Modern Nursing
2017;23(29):3761-3764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore effect of pre-programmed guidance of functional exercise on exercise compliance and accuracy of patients after lumbar surgery.Methods From January to March 2016, 60 patients who had undergone the surgery of lumbar spine internal fixation were selected as the research object. All patients were divided into intervention group and control group randomly, 30 patients in each group. Patients in the control group underwent routine postoperative functional exercises. Patients in the intervention group received preoperative functional exercise instruction before 2 days. According to the self-designed questionnaire, we evaluated the compliance and accuracy of functional exercises of the two groups by asking, checking and demonstrating.Results At first day after operation, the proficiency on ankle pump exercises and straight-leg-raising movement showed no significant difference between two groups (P>0.05); However, on supine siding leg movement to right-left, compared with the control group, the intervention group were significantly better (Z=-5.100,P<0.001). At first day after removing wound drains, the proficiency on ankle pump exercises and raising buttock with five positions showed no significant difference between two groups (P>0.05), but on straight-leg-raising movement (Z=-2.316,P=0.021) , supine siding leg movement to right-left (Z= -4.238,P<0.001), lateral siding leg movement to front-back (Z=-3.027,P=0.002) and lateral straight-leg-raising movement (Z=-3.027,P=0.002), the intervention group was significantly better than the control group. Moreover, as far as adherence of exercise, patients in the intervention group were obvious better (Z= -2.156,P=0.031).Conclusions The pre-programmed guidance of functional exercise can improve the patient's awareness and confidence of functional exercise on rehabilitation, reduce the patients' psychological anxiety, so as to improve the compliance and the correct rate of functional exercise, promote their recovery. It also can save time for propaganda, improve work efficiency.
