Observation on effect of differentiated teaching based on LEARNS model in patients with lumbar disc herniation

Abstract

To explore the effectiveness of differentiated instruction based on The LEARNS mode in the treatment of lumbar disc herniation. 86 patients in total with lumbar disc herniation who were hospitalized in the orthopedics Department of Nanjing Integrated Traditional Chinese and Western Medicine Hospital from March 2022 to February 2023 were randomly divided into the observation group and the control group with 43 cases in each one. Patients in the control group were routinely taught with conventional syndrome differentiation, while those in the observation group adopted patient-centered LEARNS model to carry out syndrome differentiation teaching. The exercise of self-care agency (ESCA), short form health survery (SF-36) and satisfaction levels before intervention and 90 days after intervention were compared between the two groups. There were no significant differences found in ESCA, SF-36 and satisfaction before intervention between the two groups (p>0.05). Ninety days after intervention, the ESCA, SF-36 and satisfaction in the observation group were significantly higher than those in the control group (p<0.05). The differentiated teaching based on LEARNS model has good application effect on lumbar disc herniation patients, and it is an effective alternative method of traditional Chinese medicine nursing health education in clinical practice.