The impact of diversified functional rehabilitation exercises based on fragmented time on the compliance behavior, coping strategies, lumbar spine function, and pain level of elderly patients with lumbar disc herniation
10.3760/cma.j.cn211501-20231116-01025
- VernacularTitle:基于碎片化时间的多元化功能康复锻炼对老年腰椎间盘突出症患者遵医行为、应对方式、腰椎功能和疼痛程度的影响
- Author:
Wenjing ZHANG
1
;
Tiantian GAO
;
Xuan LIU
Author Information
1. 中国人民解放军海军军医大学第一附属医院脊柱外科，上海 200433
- Keywords:
Rehabilitation exercise;
Lumbar disc herniation;
Lumbar spine function;
Coping style
- From:
Chinese Journal of Practical Nursing
2024;40(27):2103-2110
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of diversified functional rehabilitation exercises based on fragmented time on the compliance behavior, coping strategies, lumbar function, and pain level of elderly patients with lumbar disc herniation, in order to provide theoretical basis for rehabilitation exercise methods and intervention strategies for clinical elderly patients with lumbar disc herniation.Methods:A randomized controlled trial was conducted using convenience sampling to select 136 elderly patients with lumbar disc herniation who received treatment at the First Affiliated Hospital of the Chinese People′s Liberation Army Navy Medical University from December 2020 to December 2022 as the study subjects. The patients were randomly divided into an observation group (68 cases) and a control group (68 cases) using a random number table method. The control group received routine rehabilitation exercise, while the observation group received diversified functional rehabilitation exercise based on fragmented time. The compliance behavior, pain, coping styles, and lumbar spine function of the two groups of patients were compared.Results:There were 40 males and 28 females in the control group, with an age of (72.84 ± 3.17) years; there were 42 males and 26 females in the observation group, with an age of (73.28 ± 4.23) years. After intervention, the proportion of medication adherence, healthy lifestyle, rehabilitation exercise, and avoidance of triggering dimensions in the observation group's compliance with medical advice were 82.35% (56/68), 72.06% (49/68), 76.47% (52/68), and 69.12% (47/68), respectively, which were higher than the control group's 63.24% (43/68), 51.47% (35/68), 60.29% (41/68), and 51.47% (35/68), and the differences were statistically significant ( χ2 values were 4.42-6.28, all P<0.05); after intervention, the coping strategies of the observation group had a face dimension score of (25.35 ± 2.08) points, which was higher than the control group′s (23.25 ± 1.97) points. The avoidance and surrender dimension scores of the observation group were (10.25 ± 2.67) and (7.19 ± 2.16) points, respectively, which were lower than the control group′s (13.62 ± 2.18) and (8.64 ± 2.03) points, there was a statistically significant difference between the two groups ( t=6.35,8.47,4.24, all P<0.05) ; the treatment score evaluated by the Japanese Orthopaedic Association and Visual Analog Score in the observation group were (24.28 ± 4.73) and (0.94 ± 0.38) points, respectively, which were lower than the control group′s (26.32 ± 5.32) and (1.62 ± 0.54) points, and the differences were statistically significant ( t=2.48, 8.92, both P<0.05); the muscle strength of the lumbar trunk flexion, extension, rotation affected side, and rotation healthy side in the observation group were (116.51 ± 31.20), (138.32 ± 26.32), (52.21 ± 19.32), and (46.65 ± 12.30)Nm, higher than those in the control group (104.32 ± 35.27), (121.30 ± 20.17), (42.20 ± 17.15), and (41.20 ± 10.25)Nm, and the differences were statistically significant ( t values were 2.24-4.45, all P<0.05). The range of motion of the lumbar trunk flexion, extension, rotation affected side, and rotation healthy side in the observation group was (28.31 ± 6.35)°, (24.74 ± 5.61)°, (13.54 ± 3.54)°, and (18.25 ± 2.05) o, higher than those in the control group (24.14 ± 6.51)°, (22.32 ± 5.22)°, (11.52 ± 3.29)°, and (17.24 ± 1.54) o and the differences were statistically significant ( t values were 2.74-3.97, all P<0.05). Conclusions:Diversified functional rehabilitation exercises based on fragmented time can improve the rehabilitation exercise effect and compliance behavior of elderly patients with lumbar disc herniation, help with pain control, and promote patients to actively face rehabilitation exercises and lumbar function recovery.
