Application of teach-back method combined with mind mapping training in health education of functional exercise for patients after surgery management of lumbar disc herniation (回授法联合思维导图训练在腰椎间盘突出症术后患者功能锻炼中的应用)

Objective To investigate the effect of mind mapping based on teach-back method in health education of functional exercise for patients after surgery management of lumbar intervertebral disc prolapsed. Methods A total of 72 postoperative patients with lumbar disc herniation that met the diagnostic exclusion criteria were included. Patients were randomly divided into two groups: 36 cases in the study group received health education of functional exercise based on mind mapping and teach-back method, 36 cases in the control group received routine health education of functional exercise. The Japan Orthopaedic Association Low Back Pain Evaluation Form (JOA), TCM diagnosis and treatment efficacy criteria, compliance scale, WHO QOL-bref Short Form (WHOQOL-bref) were adopted at admission, before discharge, and at 1 month follow-up after discharge, respectively. Results The JOA score in the study group was higher than that in the control group before discharge and at 1 month follow-up after discharge respectively(P＜0. 05). According to the TCM Diagnosis and Treatment Efficacy Criteria, a higher response rate was found in the study group than that in the control group before discharge and at 1 month follow-up after discharge(P＜0. 05). Patients in the study group had higher treatment compliance and score of WHOQOL-bref compared with those in the control group before discharge and at 1 month follow-up after discharge(P＜0. 05). Conclusion The mind mapping based on teach-back method is better than conventional functional exercise health education program in improving lumbar function, improving functional exercise compliance and quality of life in patients with lumbar disc herniation. It shows great significance to promote active and continuous postoperative rehabilitation exercises for patients. (目的 探讨回授法联合思维导图训练法在腰椎间盘突出术后患者功能锻炼中的应用效果。方法 纳入符合诊断排除标准的腰椎间盘突出症术后患者72例, 采用随机数字表法分为研究组和对照组, 各36例。对照组实施常规功能锻炼健康教育计划, 研究组实施基于回授法的功能锻炼思维导图。采用日本骨科学会腰痛评估表(JOA)、中医病症诊断疗效标准、依从性、世界卫生组织生活质量测定量表简表(WHOQOL-bref)分别在患者入院时、出院前及出院后1个月进行随访和评估。结果 出院前及出院后1个月, 研究组JOA腰椎评分均高于对照组, 差异有统计学意义(P＜0. 05)。中医病症诊断疗效评价结果显示, 出院前与出院后1个月研究组干预效果均优于对照组, 差异有统计学意义(P＜0. 05)。出院前与出院后1个月研究组依从性评价优于对照组(P＜0. 05), WHOQOL-bref生活质量评分高于对照组, 差异有统计学意义(P＜0. 05)。结论 基于回授法的功能锻炼思维导图在改善腰椎间盘突出症术后患者腰椎功能、提高功能锻炼的依从性及生活质量方面优于常规功能锻炼健康教育计划, 对促进患者进行主动性和连续性的术后康复锻炼具有重要意义。)