传统功法五禽戏在颈型颈椎病康复护理中的应用

  目的  观察在康复护理中应用传统功法五禽戏对颈型颈椎病患者颈椎功能恢复以及患者对护理满意度的影响。  方法  选取2017年6月—2021年6月在安徽医科大学附属宿州医院符合纳入标准的60例颈型颈椎病患者，使用随机数字表法分为干预组和对照组各30例，对照组给予常规康复护理，干预组在常规康复护理的基础上给予五禽戏锻炼治疗，上午、下午各1次，1周连续练习5 d，共干预4周。比较2组治疗前后护理满意度、颈椎关节活动度以及治疗前后颈椎功能障碍指数量表(NDI)的变化。  结果  干预组、对照组患者治疗后NDI评分(9.97±2.77)分、(12.47±6.02)分]与治疗前(39.37±2.50)分、(38.37±4.05)分]比较差异有统计学意义(均P＜0.05)，干预组治疗后NDI、护理满意度和对照组比较差异有统计学意义(均P＜0.05)；干预组治疗后颈椎在前屈、后伸、左右侧屈、左右旋转等方向的活动度均优于对照组(均P＜0.05)。2组患者在治疗后颈椎各个方向的活动度较本组治疗前均有不同程度增加(均P＜0.05)。  结论  在颈型颈椎病的康复护理中，结合传统功法五禽戏可明显改善颈型颈椎病患者颈椎功能、颈部肌肉的疲劳、疼痛，提高颈型颈椎病患者的生活质量，患者在康复护理过程中也取得较高的满意度。 

Application of traditional Wuqinxi exercises in rehabilitation nursing of cervical spondylopathy

  Objective  To explore the influence of using traditional Wuqinxi exercises in rehabilitation nursing on cervical spine function of patients with cervical spondylosis and patients' satisfaction with nursing care.  Methods  Sixty patients with cervical spondylosis who met the inclusion criteria in Suzhou Hospital Affiliated to Anhui Medical University from June 2017 to June 2021 were divided into an intervention group and a control group with 30 cases each by the random number method. The control group received routine rehabilitation care every day, and the intervention group was given Wuqinxi exercise treatment on the basis of routine rehabilitation care, one in the morning and one in the afternoon, for five consecutive days a week, for a total of 4 weeks of intervention. Changes in nursing satisfaction, cervical joint range of motion and cervical spine dysfunction index (NDI) were compared before and after treatment.  Results  The NDI scores (9.97±2.77) points, (12.47±6.02) points] of patients in the intervention group and control group after treatment were significantly different from those before treatment (39.37±2.50) points, (38.37±4.05) points, all P < 0.05]. After treatment, NDI and nursing satisfaction in the intervention group were significantly higher than those in the control group (all P < 0.05). The range of motion of the cervical spine in the anterior flexion, posterior extension, left-right lateral flexion, and left-right rotation after treatment in the intervention group were better than the control group (all P < 0.05). The range of motion of the cervical spine in all directions after treatment in the two groups of patients increased to varying degrees compared with that before treatment in this group (all P < 0.05).  Conclusion  In the rehabilitation nursing of cervical spondylosis, combined with traditional exercises, Wuqinxi can significantly improve cervical spine function, neck muscle fatigue and pain in patients with cervical spondylosis, and improve the quality of life of patients with cervical spondylosis. Patients also achieved a high degree of satisfaction.