Influencing factor analysis of postoperative functional exercise compliance in the patients with lumbar disc herniation

Abstract

Objective To investigate the compliance of the early functional exercise in the patients with lumbar disc herniation (LDH) and analyze its influencing factors for exploring the methods to improve their compliance of the early functional exercise. Methods Through referencing literature and scales a postoperative functional exercise compliance questionnaire was designed for the patients with LDH. The compliance and its influencing factors of 147 LDH patients were analyzed. Results Among the 147 patients, the full compliance of the early functional exercise only accounted for 25.2%. The compliance significantly differed in the education level and the type of personalities (P<0.05). The reasons of the poor compliance included fearing pain, worrying about healing, insufficient understanding of the importance of the postoperative functional exercise, and lack of social support (P<0.05). Conclusions The importance of rehabilitation knowledge should be propagated to patients in the early period, especially for the patients with a low education level, strong dependence, and fear of pain. Corresponding nursing measures are taken to improve the patient′s compliance of the postoperative functional exercise maximally, in order to recover and improve the ability in activities of daily living and the quality of life in LDH patients after the operation. Key words: Lumber disc herniation; Rehabilitation; Functional exercise; Compliance; Influencing factors