摘要
目的分析接纳与承诺护理与腰背功能锻炼在骶管阻滞镇痛术治疗腰椎间盘突出(lumbar intervertebral disk protrusion,LIDP)引起坐骨神经痛患者中的应用价值。方法选取2022年8月至2023年8月绵阳市中心医院收治的100例行骶管阻滞镇痛术治疗的LIDP坐骨神经痛患者作为研究对象,按照随机数字表法分为观察组与对照组,每组50例。观察组采取接纳与承诺护理与腰背功能锻炼,对照组采取腰背功能锻炼,比较两组护理满意度、日本骨科协会下腰痛评估量表(Japanese Orthopaedic Association low back pain scale,JOA)评分、视觉模拟评分法(visual analogue scale,VAS)、接纳与行动问卷第二版(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)。结果观察组护理总满意度为96.00%,高于对照组的78.00%,差异有统计学意义(P<0.05);护理后,两组JOA评分均高于护理前,VAS、AAQ-Ⅱ评分均低于护理前,且观察组JOA评分高于对照组,VAS、AAQ-Ⅱ评分均低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论对LIDP骶管阻滞镇痛术后引起的坐骨神经痛患者采取接纳与承诺护理联合腰背功能锻炼可增强护理效果,改善腰背功能,较单独腰背功能锻炼更能缓解患者负面情绪,减轻术后疼痛,提高自我接纳能力。
Objective To analyze the application value of acceptance and commitment nursing and lumbar and back function exercise in sacral canal block analgesia in the treatment of sciatica caused by lumbar disc herniation(LIDP).Methods 100 patients with LIDP sciatica treated with sacral block analgesia at Mianyang Central Hospital from August 2022 to August 2023 were selected as the study subjects,they were divided into the observation group and the control group according to random number table method,with 50 cases in each group.The observation group received acceptance and commitment nursing and lumbar and back function exercise,while the control group received lumbar and back function exercise.The nursing satisfaction,Japanese Orthopaedic Association low back pain scale(JOA),visual analog scale(VAS),acceptance and action questionnaire second edition(AAQ-Ⅱ),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)scores were compared between the two groups.Results The total satisfaction rate of nursing in the observation group was 96.00%,which was higher than 78.00%in the control group,and the difference was statistically significant(P<0.05);after nursing,the JOA scores of the two groups were higher than those before nursing,the VAS and AAQ-Ⅱscores were lower than those before nursing,and the JOA scores in the observation group was higher than the control group,the VAS scores and AAQ-II scores were lower than those in the control group,and the differences were statistically significant(P<0.05);after nursing,the scores of SAS and SDS of the two groups were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion The acceptance and commitment nursing and lumbar and back function exercise can enhance nursing effectiveness and improve lumbar and back function in patients with sciatica caused by LIDP sacral block analgesia,compared with lumbar and back functional exercise alone,it can better alleviate negative emotions,reduce postoperative pain,and improve self acceptance ability.
作者
杨志涵
何西
YANG Zhihan;HE Xi(Department of Pain,Mianyang Central Hospital/Affiliated Mianyang Hospital of University of Electronic Science and Technology of China School of Medicine,Mianyang,Sichuan,621000,China)
出处
《当代医学》
2025年第3期161-164,共4页
Contemporary Medicine
关键词
接纳与承诺理念
护理
腰背功能锻炼
骶管阻滞镇痛术
腰椎间盘突出
坐骨神经痛
Acceptance and commitment concept
Nursing
Lumbar and back function exercise
Sacral block analgesia
Lumbar intervertebral disk protrusion
Sciatica
