临床外科杂志 ›› 2023, Vol. 31 ›› Issue (1): 93-96.doi: 10.3969/j.issn.1005-6483.2023.01.027

• 论著 • 上一篇    下一篇

COX健康行为互动模式在骨质疏松性椎体压缩骨折微创术后恐动症患者管理中的应用

  

  1. 266071 青岛市市立医院脊柱外二科(华珊珊、 周萌、栾晓娜) ，心内一科(谢方瑜) 
  • 收稿日期:2022-04-02 接受日期:2022-04-02 出版日期:2023-01-20 发布日期:2023-01-20
  • 通讯作者: 通信作者：栾晓娜，Email：651305915@qq.com
  • 基金资助:
    基金项目：青岛市民生科技计划项目(19-6-1-17-nsh)

The effect of Cox interaction model of client health behavior on kinesiophobia patients with osteoporotic vertebral compression fracture after minimally invasive procedures

  1. Department of Spine Surgery,Qingdao Municipal Hospital,Shandong,Qingdao 266071,China
  • Received:2022-04-02 Accepted:2022-04-02 Online:2023-01-20 Published:2023-01-20

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摘要： 目的 探讨COX健康行为互动模式对骨质疏松性椎体压缩骨折(osteoporotic vertebralcompression fracture,OVCF)微创术后恐动症病人的影响。方法 2020年10月~2021年3月我院收治的经皮椎体成形术和经皮椎体后凸成形术术后恐动症病人96例，其中2020年10月～2020年12月收治的50例为观察组，应用COX健康行为互动模式；2021年1月～2021年3月收治的46例为对照组，实施常规治疗。比较两组病人临床改善情况。结果 干预后观察组恐动症评估简表得分、疼痛视觉模拟评分表得分、Oswestry功能障碍指数得分均低于对照组，疼痛自我效能测评总分及疼痛管理自我效能感、症状应对自我效能感两个维度评估结果高于对照组，差异有统计学意义(P＜0.05)。干预后观察组病人再住院率和再手术率低于对照组。结论 COX健康行为互动模式可以降低OVCF微创术后恐动症病人的恐动症及疼痛水平，促进功能恢复。

关键词: COX健康行为互动模式, 骨质疏松性椎体压缩骨折, 经皮椎体成形术, 经皮椎体后凸成形术, 恐动症

Abstract: Objective To explore the effect of Cox interaction model of client health behavior on kinesiophobia patients with osteoporotic vertebral compression fracture after minimally invasive procedures.Methods 96 patients with kinesiophobia after percutaneous vertebroplasty and percutaneous kyphoplasty in our hospital from October 2020 to March 2021 were selected as observation group,among whom 50 patients admitted to hospital from October 2020 to December 2020 served in an observation group,and 46 patients admitted to the hospital from January 2021 to March 2021 were selected into a control group.The observation group was implemented with Cox interaction model of client health behavior,and the control group was implemented with the conventional nursing.The differences of two groups in the scores ofTampa Scale for Kinesiophobia(TSK-11),Visual Analogue Scale(VAS),Chronic Pian Self-efficacy Scale(CPSS),and Oswestry disability index(ODI)were compared before and after the intervention.In addition,the rehospitalization rate and reoperation rate were compared between the two groups 6 months after discharge.Results After the intervention,the scores of TSK-11,VAS and ODI in the observation group were lower than those in the control group,The total score of CPSS and the scores of self-efficacy for pain management(PSE) and self-efficacy for coping with symptoms(CSE)in the observation group were higher than those in the control group.The difference was statistically significant(P＜0.05).In addition,the rehospitalization rate and reoperation rate in the observation group were lower than those in the control group.Conclusion COX healthy behavior interaction model can reduce the level of kinetophobia and pain in patients with kinetophobia after minimally invasive OVCF surgery,and promote the functional recovery of patients.

Key words: COX interaction model of client health behavior, osteoporotic vertebralcompression fracture, percutaneous vertebroplasty, percutaneous kyphoplasty, Kinesiophobia

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