摘要
目的:探究激励理论联合协同干预对天玑骨科手术机器人治疗后的颈脊髓损伤患者功能康复和应对倾向的影响。方法:回顾性分析了2021年1月—2023年5月江苏省人民医院收治的60例颈脊髓损伤患者的临床资料,根据治疗方式的不同将所有患者分为观察组(38例,协同干预+激励理论)和对照组(22例,协同干预)。比较两组患者干预前和干预后(6个月)的应对方式、Barthel指数(BI)及功能独立性评定(FIM)情况,并回顾性分析了影响颈脊髓损伤患者的BI功能因素。结果:干预后观察组积极应对、应对倾向、FIM评分、BI指数均高于对照组,消极应对低于对照组,差异具有统计学意义(P<0.05)。干预方式、BI指数、FIM评分、应对倾向、积极应对两两之间为正相关,而消极应对与其均为负相关关系(P<0.05)。应对倾向、FIM评分、积极应对、联合干预均会正向影响BI指数。结论:激励理论联合协同干预对于天玑骨科手术机器人治疗后的颈脊髓损伤患者具有积极作用,可以增加患者应对方式,促进患者功能恢复,提高生活能力,增强信心,促进早日康复。
Objective:To explore the effects of motivation theory combined with collaborative intervention on functional rehabilitation and coping tendency of patients with cervical spinal cord injury after TIANJI robot-assisted surgery.Methods:The clinical data of 60 patients with cervical spinal cord injury admitted to Jiangsu Province Hospital from January 2021 to May 2023 were retrospectively analyzed.According to different treatment methods,all patients were divided into the observation group(38 cases,collaborative intervention+motivation theory)and the control group(22 cases,collaborative intervention).The coping styles,Barthel index(BI)and functional independence measure(FIM)of the two groups were compared before and after intervention(6 months).The factors affecting BI in patients with cervical spinal cord injury were analyzed retrospectively.Results:After intervention,the positive coping,coping tendency,FIM score and BI of the observation group are higher than those of the control group,while the negative coping was lower than that of the control group,and the differences were statistically significant(P<0.05).Intervention style,BI,FIM score,coping tendency and positive coping were positively correlated,while negative coping was negatively correlated with them(P<0.05).Coping tendencies,FIM scores,positive coping,and joint interventions all had a positive impact on the BI.Conclusion:Motivation theory combined with collaborative intervention has a positive effect on patients with cervical spinal cord injury after TIANJI robot-assisted surgery,which could increase patients'positive coping style,promote patients’functional rehabilitation,improve living ability,enhance confidence,and promote early recovery.
作者
伏徐徐
彭玉慧
FU Xuxu;PENG Yuhui(Department of Orthopaedics,the First Affiliated Hospital of Nanjing Medical University/Jiangsu Province Hospital,Nanjing 210000,China)
基金
国家自然科学基金项目(PY2021012)。
关键词
机器人辅助手术
激励理论
协同干预
颈脊髓损伤
功能康复
应对倾向
Robot-assisted Surgery
Motivation Theory
Collaborative Intervention
Cervical Spinal Cord Injury
Functional Rehabilitation
Coping tendency
