King互动达标理论对改善腰椎间盘突出症患者认知及不良反应的效果

目的 探究King互动达标理论对改善腰椎间盘突出症患者认知及不良反应的效果分析.方法 选取2015年12月至2016年12月本院收治的腰椎间盘突出症患者112例,按入院先后顺序分为两组,各56例;对照组行常规护理,观察组行King互动达标理论护理,对比两组腰椎间盘突出症相关知识知晓率、患者对腰椎间盘突出症的态度及不良行为发生率.结果 观察组“知道自己患疾病的原因”、“知道疾病的主要症状”、“知道自己患疾病所属类型”、“熟悉保守治疗方式”、“卧硬板床休息的必要性”、“病情严重可手术治疗”、“疾病较少会引起瘫痪”、“诱发疾病的因素”、“疾病影响工作和日常生活”的比率分别为98.21％、94.64％、92.86％、96.43％、91.07％、89.29％、87.50％、89.29％、94.64％,均高于对照组,差异均有统计学意义(均P＜ 0.05).观察组患者“支持控制体重”、“支持纠正不良姿势”、“合理佩戴腰围”、“专业医师进行治疗”、“坚持康复训练”、“睡硬板床”、“避免疾病诱因”、“疾病日渐趋向年轻化”、“学习省力动作”的人数比率分别为87.50％、89.29％、85.71％、83.93％、87.50％、89.29％、91.07％、92.86％、89.29％,均高于对照组,差异均有统计学意义(均P＜0.05).观察组“长时间立位或坐位”、“长时间驾驶”、“腰部受寒”、“吸烟或不良饮食习惯”、“睡软床”、“弯腰前屈”、“搬运重物”、“穿高跟鞋”、“医疗依从性差”的比率分别为33.93％、39.29％、37.50％、25.00％、28.57％、30.36％、23.21％、14.29％、16.07％,均低于对照组,差异均有统计学意义(均P＜0.05).结论 King互动达标理论应用于腰椎间盘突出症患者中可提高患者对疾病的认知,改善其不良反应,值得推广.

Effect of King's interactive standard theory on improving cognition and adverse reactions of patients with lumbar disc herniation

Objective To explore the effect of King's interactive standard theory on improving the cognition and adverse reactions of patients with lumbar disc herniation.Methods 112 patients with lumbar disc herniation treated at our hospital from December,2015 to December,2016 were divided into a control group and an observation group according to the order of admission.The control group were routinely cared.The observation group were treated with King's interactive standard theory.The awareness rate of lumbar intervertebral disc herniation,the attitude of patients with lumbar disc herniation,and the incidence of bad behavior were compared.Results The ratio of knowing the cause of the disease,knowing the main symptoms of the disease,knowing that he was suffering from which disease type,being familiar with conservative treatment,necessity of hard bed rest,surgical treatment for severe disease,the disease seldomly causes paralysis,disease-induced factors,the disease influencing work and daily life were 98.21％,94.64％,92.86％,96.43％,91.07％,89.29％,87.50％,89.29％,and 94.64％ in the observation group,which were higher than those in the control group,with statistical differences (all P ＜ 0.05).The ratios of weight control,supporting the correct bad posture,reasonable waist wearing,professional doctor for treatment,rehabilitation training,hard bed,avoiding the disease causes,disease tended to be younger,and learning and labor movement were 87.50％,89.29％,85.71％,83.93％,87.50％,89.29％,91.07％,92.86％,and 89.29％ in the observation group,which were higher than those in the control group,with statistical differences (all P ＜ 0.05).The ratios of long time standing or sitting,driving for a long time,cold in waist,smoking or bad dietary habits,soft bed,bend flexion,lifting heavy things,wearing high heels,and medical compliance were 33.93％,39.29％,37.50％,25.00％,28.57％,30.36％,23.21％,14.29％,and 16.07％ in observation group,which were lower than those in the control group,with statistical differences (all P ＜ 0.05).Conclusion King's interactive standard theory can improve the disease cognition and adverse reactions of patients with lumbar disc herniation,so it is worth being generalized.