摘要
目的探讨心智觉知模式干预在老年骨质疏松疼痛患者中的应用效果。方法纳入2020年7月至2023年5月郑州大学第五附属医院收治的100例患者,所有患者均为骨质疏松疼痛患者,采用随机数字表法分为两组,对照组接受常规护理干预,观察组接受心智觉知模式干预。比较两组干预有效率、干预前后匹兹堡睡眠质量指数(PSQI)、疼痛视觉模拟评分(VAS)、Bathel指数、健康信念评分及生活质量评分。结果观察组干预有效率较对照组高(P<0.05)。两组干预后PSQI和VAS评分较治疗前降低,Barthel指数升高,观察组改善效果优于对照组(P<0.05)。干预后,两组健康信念、预防保健行为及骨质疏松知识评分均改善,观察组高于对照组(P<0.05)。干预后,观察组生活质量评分高于对照组(P<0.05)。结论心智觉知模式干预可有效减轻老年骨质疏松患者疼痛程度,改善其睡眠质量,提升其健康信念和生活质量,值得临床借鉴。
Objective To explore the efficacy of mindfulness-based intervention in elderly patients with osteoporosis-related pain.Methods A total of 100 patients with osteoporosis-related pain admitted to the Fifth Affiliated Hospital of Zhengzhou University from July 2020 to May 2023 were enrolled and randomly divided into two groups using a random number table.The control group received routine nursing intervention,while the observation group received mindfulness-based intervention.The intervention efficacy rate,Pittsburgh sleep quality index(PSQI),visual analog scale(VAS)for pain,Barthel index,health belief scores,and quality of life scores were compared between the two groups before and after the intervention.Results The intervention efficacy rate in the observation group was higher than that in the control group(P<0.05).After the intervention,PSQI and VAS scores decreased,and the Barthel index increased in both groups,with greater improvements observed in the observation group compared to the control group(P<0.05).After the intervention,health belief scores,preventive health behavior scores,and osteoporosis knowledge scores improved in both groups,with the observation group showing higher scores than the control group(P<0.05).The quality of life scores in the observation group were also higher than those in the control group after the intervention(P<0.05).Conclusion Mindfulness-based intervention can effectively alleviate pain,improve sleep quality,enhance health beliefs,and promote quality of life in elderly patients with osteoporosis.It is worthy of clinical reference.
作者
王娟
林蓓蕾
陈文
WANG Juan;LIN Beilei;CHEN Wen(Department of Musculoskeletal Pain Rehabilitation,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Clinical Teaching and Research,School of Nursing and Health of Zhengzhou University,Zhengzhou 450001,China)
出处
《河南医学研究》
2025年第4期737-741,共5页
Henan Medical Research
关键词
骨质疏松
疼痛
老年
心智觉知模式
睡眠质量
日常生活活动能力
生活质量
健康信念
osteoporosis
pain
elderly
mindfulness-based intervention
sleep quality
activities of daily living
quality of life
health belief
