保护动机干预模式对腰椎间盘突出症患者预后及生活质量的影响

目的：探讨保护动机干预模式对腰椎间盘突出症患者预后及生活质量的影响。方法2014年1月至2015年1月选取本院经手术治疗后的腰椎间盘突出症患者120例为研究对象，根据抽签法将患者分为观察组(n=60)及对照组(n=60)。住院期间对照组应用常规性护理，观察组应用保护动机干预模式实施护理。出院后随访6个月，对比分析两组干预前后功能障碍指数评分( ODI )、腰椎间盘突出症知识评分及生活质量评分。结果观察组干预1个月、3个月、6个月时ODI评分显著高于对照组( P<0.05)。观察组干预6个月后运动知识、疾病知识、康复护理知识、日常生活知识、饮食知识及总评分均高于对照组( P<0.05)。观察组干预后总体健康、心理功能、生理职能、社会功能、健康精神、情感职能等方面评分显著高于对照组( P<0.05)。结论保护动机干预模式能有效提高腰椎间盘突出症患者疾病知识，改善患者胸椎功能，进而提高患者生活质量。

The impact of prognosis and quality of life of protection-based intervention program on lumbar disc herniation

Objective To explore the impact of prognosis and quality of life of protection-based intervention program on lumbar disc herniation. Methods A total of 120 cases of patients with lumbar disc herniation treated in our hospital from January 2014 to January 2015 were divided into observation group ( n=60 ) and control group ( n=60 ) by the method of sortition by random. The control group were given the routine care, and the observation group were trea-ted with the protection-based nursing intervention during the hospitalization period. Two groups were followed up 6 months after discharge. The oswestry disability index score ( ODI) , lumbar disc herniation knowledge score and score of quality of life of the two groups before and after intervention were compared. Results The levels of ODI score after one month, three months and six months was higher than that of the control group (P<0. 05) . The sports knowledge, knowledge of disease, rehabilitation care knowledge, daily life knowledge, knowledge of diet and total scores of the ob-servation group 6 months after operation was higher than that of the control group ( P<0. 05 ) . The levels of overall health, psychological aspects of function, physical function, social function, mental health, emotional function and other scores of the observation group was higher than that of the control group ( P<0. 05 ) . Conclusions Protection-based intervention model can effectively improve the knowledge of disease of patients with lumbar disc herniation, im-prove function of patients with thoracic, and improve the quality of life of the patients.