污名化对患有青少年特异性脊椎病的儿童的运动遵守有负面影响:一个横截面研究
Özlem Karataş1,2, Nehir Samancı Karaman1,2, Kadriye Tombak1,2
1Akdeniz University, Antalya, Turkey.
概括
患有较高耻辱评分的青少年无意识脊椎病 (AIS) 患者更有可能不坚持运动治疗. 解决污名化问题对于改善AIS患者的治疗坚持和生活质量至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 青少年医学 青少年医学
- 心理社会健康 心理健康
背景情况:
- 青少年异常脊椎病 (Adolescent Idiopathic Scoliosis,简称AIS) 是一种影响身体和心理社会福祉的脊椎形.
- 与AIS相关的耻辱感可能会对像运动疗法这样的保守治疗方法的坚持产生负面影响.
- 了解耻辱和坚持之间的联系对于优化患者的治疗结果至关重要.
研究的目的:
- 为了研究与脊椎病相关的耻辱和在AIS的青少年中坚持炼治疗之间的关系.
- 确定感知到的耻辱是否会影响规定的运动计划的规律性.
- 探索联合支架和运动对耻辱程度的影响.
主要方法:
- 88名接受保守治疗的AIS患者的横截面研究.
- 按每周在家练习的频率和自我报告的规律性 (≥3天/周) 评估的炼坚持.
- 使用AIS-SAS测量了脊椎病和支架相关的耻辱感;统计分析包括曼-惠特尼U,奇方位和后勤回归.
主要成果:
- 观察到高水平的运动不坚持 (68.2%).
- 不坚持的患者报告说,与脊椎病相关的耻辱感 (p=0.014) 和与支架相关的耻辱感 (p=0.016) 显著增加.
- 与脊椎病相关的耻辱和支架治疗是不坚持治疗的重要预测因素 (p<0.05).
结论:
- 感知到的污名化是一个潜在的贡献者,可以在AIS中行使不遵守.
- 减少耻辱的干预措施可以改善治疗的坚持和生活质量.
- 需要进一步的纵向研究来确认因果关系并探索其他心理社会因素.
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