| Objective: To investigate the status of health-promoting lifestyle and quality of life in NLBP(non-specific low back pain)patients,and analyze the influencing factors.Secondly,to establish TTM(trans theoretical model)intervention strategy for NLBP patients,and to evaluate the intervention effect of cross-theoretical model on health-promoting lifestyle and quality of life in NLBP patients.Methods: The study was divided into 2 stages.The first phase was a cross-sectional study in which 127 patients with NLBP were randomly randomized to investigate the patient's health behavior using a general data questionnaire,a quality of life measurement scale,a visual analogue scale,and a Health Promotion Lifestyle Rating Scale II.The status quo of quality of life and analysis of its influencing factors.In the second stage,TTM intervention was performed on NLBP patients,and 64 patients with NLBP were randomly sampled and randomly divided into two groups of 32 patients.The control group used routine health education,and the intervention group performed TTM intervention on the basis of routine health education.The behavioral quality assessment scale,the quality of life measurement scale,the visual analogue scale,and the Health Promotion Lifestyle Rating Scale II were used to assess the quality of life and health behavior of the two groups before and 6 months after intervention.Evaluate the effect of its intervention.The collected data were analyzed by SPSS 20.0 statistical software.Statistical methods include: statistical description,independent sample t test,paired t test,analysis of variance,?2 test,and Spearman rank correlation.Results: The average score of NLBP patients was 129.95±24.54,the score rate was 62.48%.The scores of each dimension from high to low were self-fulfillment,interpersonal relationship,stress coping,nutrition,exercise and health responsibility.The quality of life of NLBP patients was in the middle level,with the highest score in psychological field,followed by social field,physiological field and environmental field.There were significant differences in the quality of life among NLBP patients with different understanding of low back pain,number of access to disease knowledge and payment methods of medical expenses(P < 0.05).There was significant difference in health behavior among patients with different understanding of low back pain(P < 0.05);health behavior was positively correlated with physiological dimension,psychological dimension,social dimension,environmental dimension and self-rated health status(P < 0.05).There was no significant correlation between nutritional dimensions and self-rated quality of life and self-rated health status of quality of life.There was no significant difference in demographic data between the intervention group and the control group(P > 0.05).There was no significant difference in visual pain score between the two groups before intervention(P > 0.05),and the visual pain score of the intervention group was higher than that of the control group(P < 0.05).There was no significant difference between the two groups in the four areas of quality of life(physiology,psychology,society,environment)and the scores of self-rated quality of life and self-rated health status(P > 0.05);the intervention group in the three areas of quality of life(physiology,psychology,environment,society)and self-rated quality of life after intervention(P > 0.05).The score of self-rated health was higher than that of the control group(P<0.05).Before intervention,there was no significant difference between the two groups in six areas of health-promoting lifestyle(self-fulfillment,health responsibility,exercise,nutrition,interpersonal relationship,stress coping)and the overall score of health-promoting lifestyle(P > 0.05);after intervention,there were six areas of health-promoting lifestyle in the intervention group.The overall scores of self-fulfillment,health responsibility,exercise,nutrition,interpersonal relationship,stress coping and health-promoting lifestyle were higher than those of the control group(P < 0.05).Conclusion: Quality of life and health-promoting lifestyle of patients are in the middle level.Knowledge acquisition and disease awareness are the influencing factors of quality of life.The degree of disease understanding is the influencing factor of healthy behavior.Health behavior is positively correlated with quality of life.Cross-theoretical model can alleviate the pain of NLBP patients,improve their quality of life,promote patients to develop a healthy lifestyle,and make healthy lifestyle continue. |
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