李新通,毛世刚,李旭东,刘永富,王洋.基于格林模式的运动疗法在护士职业性腰痛预防中的作用效果[J].中国康复,2022,37(7):419-423 |
基于格林模式的运动疗法在护士职业性腰痛预防中的作用效果 |
Preventive effects of exercise therapy based on Precede-Proceed model on occupational low back pain in nurses |
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DOI: |
中文关键词: 职业性腰痛 格林模式 运动疗法 预防 |
英文关键词: occupational low back pain exercise therapy Precede-Proceed model prevention |
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中文摘要: |
 目的:探讨基于格林模式的运动疗法在护士职业性腰痛(OLBP)预防中的作用效果。方法:选取在职护士81名,按照随机数字表法分为3组各27名。A组接受空白干预;B组接受运动疗法干预;C组接受基于格林模式的运动疗法。在干预前、干预12周后分别采用OLBP发生率、病假天数、工作能力指数量表(WAI)、健康调查简表(SF-36)对护士OLBP发病及相关误工情况、工作能力以及生活质量进行评估。结果:干预12周后,A组WAI评分及SF-36评分较治疗前差异无统计学意义;B组WAI评分较治疗前明显增加(P<0.05),SF-36评分较治疗前差异无统计学意义;C组WAI评分及SF-36评分较治疗前明显增加(P<0.05)。干预12周后,B组与A组相比,WAI评分明显高于A组(P<0.05),但OLBP发生率、病假天数、SF-36评分差异无统计学意义;C组与A组相比,OLBP发生率明显低于A组,WAI评分及SF-36评分明显高于A组(P<0.05),病假天数差异无统计学意义;C组与B组相比,仅WAI评分明显高于B组(P<0.05)。结论:基于格林模式的运动疗法可有效降低护士OLBP的发生率,提升护士工作能力,改善生活质量,在护士OLBP预防中起到积极的作用效果,值得临床推广应用。 |
英文摘要: |
Objective: To explore the preventive effects of exercise therapy based on Precede-Proceed model on occupational low back pain in nurses. Methods: A total of 81 nurses were randomly allocated into group A, group B, and group C, with 27 nurses in each group. Group A received no intervention. Group B received exercise therapy. Group C received exercise therapy based on PRECEDE-PROCEED model. The OLBP incidence rate, sick leave, the labor ability scores, the work ability index (WAI), and the MOS 36-Item Short-Form Health Survey (SF-36) scores were assessed before and 12 weeks after intervention in the three groups to evaluate the incidence of OLBP, related work absenteeism, work ability and quality of life of nurses respectively. Results: After 12 weeks of intervention, there was no significant difference in WAI score and SF-36 score in group A as compared with those before treatment. Compared with before treatment, the WAI score in group B was significantly increased (P<0.05), but there was no significant difference in SF-36 score. The WAI score and SF-36 score in group C were significantly higher than those before treatment (P<0.05). After 12 weeks of intervention, the WAI score in group B was significantly higher than that in group A (P<0.05), but there was no significant difference in the incidence rate of OLBP, sick leave, and SF-36 score. The incidence rate of OLBP in group C was significantly lower, and the WAI score and SF-36 score were significantly higher than those in group A (P<0.05), and there was no significant difference in the sick leave. Only the WAI score in group C was significantly higher than that in group B (P<0.05). Conclusion: Exercise therapy based on Precede-Proceed model can effectively reduce the OLBP incidence rate, improve working ability and quality of life, and play a positive role in the prevention of OLBP in nurses, and is worthy of clinical application. |
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