Application of cognitive behavioral intervention combined with early functional exercise in patients with kinesiophobia after lumbar disc herniation surgery
10.3760/cma.j.cn115682-20211027-04854
- VernacularTitle:认知行为干预联合早期功能锻炼在腰椎间盘突出症术后恐动症患者中的应用
- Author:
Tian YUAN
1
;
Yan ZHAO
;
Yan NI
;
Junjun QIU
;
Lingxia ZHANG
Author Information
1. 南京医科大学附属南京医院（南京市第一医院）骨科，南京 210006
- Keywords:
Lumbar disc herniation;
Kinesiophobia;
Early rehabilitation;
Functional exercise;
Cognitive-behavioral intervention;
Fear-avoidance beliefs
- From:
Chinese Journal of Modern Nursing
2022;28(29):4082-4087
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of cognitive behavioral intervention combined with early functional exercise on kinesiophobia in patients with lumbar disc herniation after surgery.Methods:From September 2020 to September 2021, the convenient sampling was used to select 90 patients with kinesiophobia after lumbar disc herniation surgery in Department of Orthopedics in Nanjing First Hospital as the research objects. They were divided into the intervention group and the control group by the random number table, with 45 cases in each group. The control group received routine nursing, while the intervention group received cognitive behavioral intervention combined with early functional exercise on the basis of routine nursing. The scores of Tampa Scale for Kinesiophobia (TSK) , Fear Avoidance Beliefs Questionnaire (FABQ) , Exercise Adherence Rating Scale (EARS) and Japanese Orthopaedic Association (JOA) were compared between the two groups at the time of admission, at discharge and 1 and 3 months after the operation.Results:After the intervention, the TSK and FABQ scores of the patients in the intervention group were lower than those in the control group at the time of discharge, 1 month after surgery and 3 months after surgery; the EARS and JOA scores of patients in the intervention group were higher than those in the control group at the time of discharge, 1 month and 3 months after operation, and the differences were all statistically significant ( P<0.05) . Conclusions:Cognitive-behavioral intervention combined with early functional exercise can effectively reduce the level of kinesiophobia and fear-avoidance beliefs in patients with postoperative lumbar disc herniation, improve their exercise compliance and effectively improve their physical function.
