目标导向式循序渐进干预模式对腰椎压缩性骨折 老年患者术后功能锻炼、睡眠质量的影响

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ffects of Goal Oriented Progressive Intervention Mode on Postoperative Functional Exercise andSleep Quality in Elderly Patientswith Lumbar Compression Fractures

LIN Jinxiang，LIN Mingming，LI Jinling （ Jinjiang Municipal Hospital/Shanghai Sixth People's hospital Fujian，Jinjiang 3622Oo，China）

AbstractObjective：Toexploretheappication efectsof goalorientedprogressve interventionmodeforelderly patients with lumbarcompresion fracturesand furtheranalze itsimpactsonpostoperativefunctional exerciseandsleequality.Methods; totalof82elderlypatients withlumbarcompresionfracturesadmitedtoJinjiang HospitalfromJanuary2O24toDecember2024 wereselectedanddivided intotwogroupsusing arandomnumber table method，with41cases ineachgroup.Thecontrolgroup implementedroutineinterventionmode，whiletheobservationgroupimplementedgoalorientedprogresiveinterventionmodeon thebasis of thecontrol group.DigitalPainScale（NRS），General SelfEficacyScale（GSES）scores，JapaneseOrthopaedicAsociationEvaluation of Treatment Score（JOA），andPitsburgh Sleep Quality Index（PSQI）between twogroupswere compared.Results：Theevaluationresultsat1 week and1 month aftersurgeryshowed thatthe GSES scoresandJOAscoresof the observationgroupwere higherthanthoseofthecontrolgroupandthePSQIscoreswerelowerthanthatofthecontrolgroup，with statistical significance（ P<0.05 ）. Conclusion：Implementing goal oriented progressve intervention mode for elderly patients with lumbarcompressonfracturescanefectivelyimprove theirself-effcacyehancelumbarfunctionandimprovepostoperativesleep quality. It is suitable for promotion and application in clinical practice.

KeywordsLumbar spine；Compresionfracture;；Oldage；Goaloriented；Gradual intervention；Senseof eficacy；Functional exercise； Sleep quality

中图分类号：R473.6；R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.02.035

腰椎压缩性骨折是脊柱骨折中比较常见的类型，其主要是由外伤引起[1]。（剩余4958字）