| 陈翔宇,张威,韩晓源,章国峰,张云舒,母志恒,温俊希,吴惠宇,刘宁宁,王菡.整合干预模式对青少年特发性脊柱侧弯患者心理及躯体功能的影响[J].济宁医学院学报,2026,49(2):97-102 |
| 整合干预模式对青少年特发性脊柱侧弯患者心理及躯体功能的影响 |
| The effects of integrated intervention model on mental health literacy and physical function in adolescents with idiopathic scoliosis |
| 投稿时间：2025-11-24 |
| DOI：10.3969/j.issn.1000-9760.2026.02.001 |
| 中文关键词: 青少年特发性脊柱侧弯;心理健康素养;随机对照试验;线上科普;Schroth疗法;康复护理 |
| 英文关键词: Adolescent idiopathic scoliosis;Mental health literacy;Randomized controlled trial;Online science popularization;Schroth therapy;Rehabilitation nursing |
| 基金项目:教育部人文社会科学研究青年基金项目(25YJCZH288);2024年山东省大学生创新创业项目(cx2024208z);山东省人文社会科学课题 |
| 作者 | 单位 | E-mail | | 陈翔宇 | 济宁医学院临床医学院(附属医院), 济宁 272013 | | | 张威 | 济宁医学院基础医学院, 济宁 272067 | | | 韩晓源 | 承德医学院心理系, 承德 067000 | | | 章国峰 | 济宁职业技术学院基础部, 济宁 272000 | | | 张云舒 | 济宁医学院中西医结合学院, 济宁 272067 | | | 母志恒 | 济宁医学院中西医结合学院, 济宁 272067 | | | 温俊希 | 济宁医学院精神卫生学院, 济宁 272013 | | | 吴惠宇 | 广州工程技术职业学院体育教研室, 广州 510075 | | | 刘宁宁 | 济宁医学院基础医学院, 济宁 272067 | liuningning@mail.jnmc.edu.cn | | 王菡 | 济宁医学院精神卫生学院, 济宁 272013 | 17562029378@163.com |
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| 中文摘要: |
| 目的 探讨线上科普联合线下Schroth功能训练整合干预模式对提升青少年特发性脊柱侧弯(AIS)患者心理健康素养和躯体功能恢复的效果。方法 选取中国中医科学院西苑医院济宁医院接受脊柱侧弯干预的患者22例。将研究对象随机分为对照组(n=11)和试验组(n=11)。对照组接受常规的护理方案,试验组在接受常规护理的基础上,开展线上科普联合线下Schroth功能训练。于干预前和8周干预后采用青少年通用心理健康素养量表(UMHL-A)、脊柱侧凸研究学会22项(Scoliosis Research Society-22,SRS-22)量表和脊柱X射线正片评定心理健康素养状况和脊柱恢复情况。结果 干预8周后,试验组结局指标较干预前显著改善,且改善幅度均显著优于对照组(均P＜0.05);试验组SRS-22总分由干预前(91.18±3.37)分提升至(99.18±7.78)分,两组间差值比较差异具有统计学意义(t=3.129,P＜0.01);试验组脊柱主弯Cobb角由干预前(15.45±3.91)°减小至(10.59±4.50)°,平均矫正4.86°,两组差值比较差异具有统计学意义(t=2.401,P＜0.05);试验组UMHL-A得分由干预前(38.36±2.11)分提升至(43.73±3.38)分,两组差值比较差异具有统计学意义(t=2.894,P＜0.05)。结论 线上科普联合线下功能训练这一整合干预模式有助于提升AIS患者的心理健康素养和躯体功能恢复的效果。 |
| 英文摘要: |
| Objective To explore the effects of an integrated intervention model combining online science popularization with offline Schroth functional training on improving mental health literacy and physical function recovery in adolescents with idiopathic scoliosis (AIS). Methods Twenty-two patients undergoing scoliosis treatment at Jining Hospital,Xiyuan Hospital,China Academy of Chinese Medical Sciences,were randomly assigned to a control group (n=11) and an experimental group (n=11).The control group received routine care,while the experimental group received the integrated intervention of online science popularization combined with offline Schroth functional training in addition to routine care.The Universal Mental Health Literacy Scale for Adolescents (UMHL-A),the Scoliosis Research Society-22 (SRS-22) questionnaire,and spinal X-rays were used to assess mental health literacy and spinal recovery at baseline and after 8 weeks of intervention. Results After 8 weeks of intervention,the outcome indicators of the experimental group showed significant improvement compared with baseline,and the extent of improvement was significantly greater than that in the control group (all P＜0.05);The total SRS-22 score of the experimental group increased from 91.18±3.37 at baseline to 99.18±7.78,with a highly statistically significant difference between groups (t=3.129,P＜0.01);The Cobb angle of the major curve of the experimental group decreased from (15.45±3.91)° at baseline to (10.59±4.50)°,with an average correction of 4.86°,showing a statistically significant difference between groups (t=2.401,P＜0.05);The UMHL-A score increased from 38.36±2.11 at baseline to 43.73±3.38,with a statistically significant difference between groups (t=2.894,P＜0.05). Conclusion The integrated intervention model of online science popularization combined with offline functional training helps to enhance mental health literacy and promote physical function recovery in AIS patients. |
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