Volume 23 Issue 4
Apr.  2025
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ZHANGYANG Xibei, ZHOU Pinghui, ZHANG Jingjing, ZOU Yang. Application effect of task-oriented training combined with stepped rehabilitation training on patients with UBE for lumbar disc herniation[J]. Chinese Journal of General Practice, 2025, 23(4): 699-703. doi: 10.16766/j.cnki.issn.1674-4152.003983
Citation: ZHANGYANG Xibei, ZHOU Pinghui, ZHANG Jingjing, ZOU Yang. Application effect of task-oriented training combined with stepped rehabilitation training on patients with UBE for lumbar disc herniation[J]. Chinese Journal of General Practice, 2025, 23(4): 699-703. doi: 10.16766/j.cnki.issn.1674-4152.003983

Application effect of task-oriented training combined with stepped rehabilitation training on patients with UBE for lumbar disc herniation

doi: 10.16766/j.cnki.issn.1674-4152.003983
Funds:

 2022AH020086

  • Received Date: 2024-06-24
    Available Online: 2025-06-30
  •   Objective  To explore the application effect of task-oriented training combined with stepped rehabilitation training on patients with unilateral double-channel endoscope (UBE) for lumbar disc herniation (LDH) and analyze the influence on self-efficacy, exercise compliance, lumbar function and quality of patients.  Methods  A total of 80 patients with LDH who received UBE were selected in the First Affiliated Hospital of Bengbu Medical University from September 2021 to September 2023 and were divided into a control group (40 cases) and an observation group (40 cases) by random number table method. The patients in the control group received routine nursing agent rehabilitation training after surgery. On the basis of the intervention in the control group, the patients in the observation group were given task-oriented training combined with stepped rehabilitation training. Chronic pain self-efficacy scale (CPSS), functional exercise compliance scale for orthopedic patients, Oswestry dysfunction index (ODI), and 36-item short-form health survey (SF-36) were used to evaluate the self-efficacy, exercise compliance, lumbar function and quality of life of patients at 1 day and 1 month after surgery.  Results  The scores of pain management, physical function, and symptom coping of the CPSS scale in the two groups 1 month after surgery were enhanced than those 1 day after surgery (P < 0.05), and the above scores in the observation group were higher than those in the control group (P < 0.05). At 1 month after surgery, the exercise compliance scores of psychological aspect, active learning, and physical aspect and total score were risen in both groups compared with those at 1 day after surgery (P < 0.05), and the observation group had higher scores than those in the control group (P < 0.05). The ODI score in the two groups declined at 1 month after surgery than that at 1 day after surgery (P < 0.05), and the ODI score of (27.05±3.84) points in the observation group was lower compared with (29.18±4.16) points in the control group (F=5.662, P < 0.05). At 1 month after surgery, the SF-36 score in both groups was increased compared with that at 1 day after surgery (P < 0.05), and the score in the observation group with (65.63±10.58) points was higher than (60.70±9.34) points in the control group (F=4.881, P=0.030).  Conclusion  After UBE in LDH patients, task-oriented training combined with stepped rehabilitation training can effectively enhance self-efficacy and exercise compliance, and it is conducive to improving lumbar dysfunction and enhancing the quality of life of patients.

     

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