Affiliations: [a] Department of Neurosurger Nursing, Fujian Medical University Union Hospital, Fuzhou, Fujian, China | [b] Department of Neurosurger Nursing, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China | [c] Department of Neurosurger Nursing, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China | [d] Department of Neurosurger Nursing, The First People’s Hospital of Changde City, Changde, Hunan, China
Correspondence:
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Corresponding author: Yan-Juan Lin, Department of Neurosurgery Nursing, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Gulou District, Fuzhou, Fujian 350001, China. E-mail: linyanjuanlyjm9@126.com.
Note: [1] These authors contributed equally to this article.
Abstract: BACKGROUND: With improving living standards, the incidence of cervical spondylotic myelopathy (CSM) has become increasingly high. OBJECTIVE: The study aims to explore the effect of diversified health-promoting models on rehabilitation exercises in patients with CSM after an operation. METHOD: This was a randomized controlled trial, wherein 107 patients with CSM treated by neurosurgery were selected as the subjects. Of those, 52 patients in the control group adopted the conventional health-promoting model, while the remaining 55 patients in the intervention group adopted diversified health-promoting models. The effect of rehabilitation exercises in the two groups was evaluated according to the self-efficacy rehabilitation outcome scale, grip strength measurement of the affected limb, and Barthel index. RESULTS: At Day 3 post-operation and before discharge, the self-efficacy management of rehabilitation exercises in the intervention group was better than that of the control group (P< 0.05). The grip strength measurement of the affected limb, Japanese Orthopedic Association score of the cervical vertebra, and Barthel index of the two groups at Day 3 post-operation were lower than before the intervention and were not statistically significant (P> 0.05). However, these three items before discharge were improved when compared with those of before intervention and were statistically significant (P< 0.05). CONCLUSION: Postoperative rehabilitation exercises guided by the diversified health-promoting models for patients with CSM can improve the patients’ self-efficacy management ability in rehabilitation exercises, help improve grip strength, and promote the recovery of cervical vertebra function, thereby improving the patients’ quality of life.
