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中国防痨杂志 ›› 2021, Vol. 43 ›› Issue (7): 747-750.doi: 10.3969/j.issn.1000-6621.2021.07.018

• 短篇论著 • 上一篇    下一篇


艾雅娟, 韩旭*(), 毕娜, 余兴艳, 张颖, 张亚茹, 王攀, 罗小波   

  1. 100091 北京,解放军总医院第八医学中心康复四病区
  • 收稿日期:2020-12-10 出版日期:2021-07-10 发布日期:2021-07-09
  • 通信作者: 韩旭

The effect of joint relaxation training on pain, anxiety and sleep quality of postoperative patients with spinal tuberculosis

AI Ya-juan, HAN Xu*(), BI Na, YU Xing-yan, ZHANG Ying, ZHANG Ya-ru, WANG Pan, LUO Xiao-bo   

  1. Rehabilitation Ward 4, the Eighth Medical Center of PLA, Beijing 100091, China
  • Received:2020-12-10 Online:2021-07-10 Published:2021-07-09
  • Contact: HAN Xu


回顾性分析解放军总医院第八医学中心脊柱微创外科2017年1月至2019年7月收治的135例脊柱结核手术患者。其中,2017年1月至2018年6月对就诊的72例脊柱结核手术患者术后进行常规护理干预;2018年7月至2019年7月对就诊的63例脊柱结核患者术后进行“三联”放松训练治疗,包括腹式呼吸、想象、肌肉联合的放松训练。采用系统随机抽签法从常规护理干预和“三联”放松训练干预中各选取40例作为对照组和观察组。观察组术后3d、术后1周VAS疼痛评分分别为(4.22±0.81)分和(2.22±0.72)分,均明显低于对照组[分别为(4.98±1.12)分和(2.98±1.04)分],差异均有统计学意义(t=3.478,P=0.001;t=3.800,P=0.000)。术后2周观察组患者焦虑自评量表及抑郁自评量表评分分别为(44.68±3.47)分和(44.74±3.53)分,均明显优于对照组[分别为(47.84±3.58)分和(47.17±3.50)分],差异均有统计学意义(t=4.009,P=0.000;t=3.092,P=0.003)。观察组术后2周PSQI评分及术后24、48 h睡眠时间分别为(5.65±2.40)分、(5.92±0.76)h、(6.47±0.96)h,均明显优于对照组[分别为(6.98±1.12)分、(5.44±0.71)h、(5.71±0.81)h],差异均有统计学意义(t=3.176,P=0.002;t=2.919,P=0.005;t=3.827,P=0.000)。研究结果显示,脊柱结核患者术后进行“三联”放松训练能够减轻术后患者的疼痛,改善患者的心理压力,提高睡眠质量。

关键词: 结核, 脊柱, 放松训练, 疼痛, 手术后, 焦虑, 对比研究


This was a retrospective study. The information and data of 135 patients with spinal tuberculosis, who received treatment at the Minimally Invasive Spine Surgery Department of the 8th Medical Center, PLA General Hospital from January 2017 to July 2019, were analyzed. Among them, 72 patients received routine nursing care after surgery from January 2017 to June 2018 while 63 patients received joint relaxation training (including abdominal breathing, meditation, and muscles relaxation) as the postoperative nursing care method from July 2018 to July 2019. From each of the above-mentioned patient groups, 40 cases were randomly selected respectively as the control group and the observation group. Visual analogue scale (VAS) was used to evaluate the degree of postoperative pain in the patients. In the observation group, the VAS scores in the patients were 4.22±0.81 and 2.22±0.72 respectively on postoperative Day 3 and 1 week, which were lower than those in the control group patients (4.98±1.12 on postoperative Day 3 and 2.98±1.04 at 1 week after the operation), and the differences were statistically significant (t=3.478, P=0.001; t=3.800, P=0.000). At two weeks after the operation, the scores of self-rating Anxiety scale and self-rating Depression scale in the observation group patients were 44.68±3.47 and 44.74±3.53, which were lower than those in the control group patients (47.84±3.58 and 47.17±3.50). The differences were statistically significant respectively (t=4.009, P=0.000; t=3.092, P=0.003). The Pittsburgh sleep quality index (PSQI) scores in the observation group at 2 weeks after the operation was 5.65±2.40, the sleep time at 24 hours and 48 hours after the operation were (5.92±0.76) h and (6.47±0.96) h in the observation group, which were much better than those in the control group (6.98±1.12, (5.44±0.71) h, (5.71±0.81) h), and the differences were statistically significant (t=3.176, P=0.002; t=2.919, P=0.005; t=3.827, P=0.000). This study showed that the joint relaxation training with abdominal breathing, meditation and muscles relaxation to the postoperative patients with spinal tuberculosis can relieve pain and psychological pressure of the patients, improve their sleep quality.

Key words: Tuberculosis, spinal, Relaxation training, Pain, postoperative, Anxiety, Comparative study