CAJ | 학술논문

目的：：评价健康教育对社区中老年颈椎病患者病情干预的效果。方法：选取本社区门诊经牵引治疗后的颈椎病患者90例，随机分为干预组和对照组各45例，对干预组进行系列有序系统的健康教育干预活动和随访督导，对照组只进行随访，评价两组研究前后症情体征、Vernon颈椎残障指数量表（NDI）和生活质量指数(SF-36)评分。结果：与对照组相比，干预组干预后的症情体征评估（颈肩部疼痛、僵硬及上肢疼痛麻木）、NDI颈椎病功能障碍指数评分和生活质量指数评分（生理职能、躯体疼痛、一般健康状况、精力、精神健康评分）均有明显提高，组间差异有统计学意义（P<0.05）。结论：社区综合健康教育干预可以改善颈椎病患者的症情。
목적：：평개건강교육대사구중노년경추병환자병정간예적효과。방법：선취본사구문진경견인치료후적경추병환자90례，수궤분위간예조화대조조각45례，대간예조진행계렬유서계통적건강교육간예활동화수방독도，대조조지진행수방，평개량조연구전후증정체정、Vernon경추잔장지수량표（NDI）화생활질량지수(SF-36)평분。결과：여대조조상비，간예조간예후적증정체정평고（경견부동통、강경급상지동통마목）、NDI경추병공능장애지수평분화생활질량지수평분（생리직능、구체동통、일반건강상황、정력、정신건강평분）균유명현제고，조간차이유통계학의의（P<0.05）。결론：사구종합건강교육간예가이개선경추병환자적증정。
Objective:To evaluate the intervention effect of the health education on the community senile patients with cervical spondylosis. Methods:Ninety cases with cervical spondylosis treated by traction were selected in the out-patient department of the community health service center and divided into an intervention group and a control group with 45 cases each randomly. The intervention group was given a series of orderly systematic health education intervention activities and following-up supervision, and the control group with only following-up evaluation. Before and after the study, the symptoms and signs, disability index score of cervical spondylosis, and quality of life index (SF-36) score of two groups were evaluated. Results:The symptoms and signs assessment (neck and shoulder pain, stiffness and upper limb pain and numbness), disability index score of cervical spondylosis, and quality of life index score (physiological function, body pain, general health, energy, mental health scores) were increased obviously and the difference between two groups had the statistical signiifcance(P<0.05). Conclusion:The community comprehensive health education intervention of cervical spondylosis can improve the symptom of the patients with cervical vertebra disease.