首页|IBM理论结合早期康复护理对脊柱骨折患者术后康复效果的影响

IBM理论结合早期康复护理对脊柱骨折患者术后康复效果的影响

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目的:观察信息-动机-行为(IBM)理论下的早期康复护理在脊柱骨折患者术后康复中的应用效果,为临床康复护理提供依据.方法:选取2020年1月—2022年3月中国人民解放军联勤保障部队第九八八医院接受手术治疗的100例脊柱骨折患者作为研究对象,采用随机数表法将患者分为观察组和对照组,每组各50例.对照组患者实施常规康复护理;观察组患者实施基于IBM理论引导下的早期康复护理,比较两组患者干预后的康复依从性、干预前后的脊柱功能改善情况、疼痛缓解情况,并通过开展6个月短期随访对其术后并发症发生情况及生活质量进行综合评估.结果:护理后,观察组患者的康复依从性优良率高于对照组,差异有统计学意义(x2=6.945,P<0.05);护理后,观察组患者的脊柱功能障碍(SFI)评分、视觉模拟疼痛(VAS)评分均低于对照组,差异有统计学意义(t=3.120、3.262,P<0.05);随访期间,观察组患者的并发症发生率低于对照组,差异有统计学意义(x2=5.980,P<0.05);随访期间,观察组患者日常生活能力(ADL)评分低于对照组,差异有统计学意义(t=3.042、2.705,P<0.05).结论:基于IBM理论为脊柱骨折手术患者实施早期康复护理可有效提升患者康复依从性,对改善脊柱功能、缓解疼痛、降低术后并发症并提升生活质量均有积极意义.
Influence of IBM Theory Combined with Early Rehabilitation Care on the Postoperative Rehabilitation Effect of Pa-tients with Spinal Fracture
Objective:To observe the effect of early rehabilitation care under the information-behavior-motivation(IBM)theory in the postoperative rehabilitation of spinal fracture patients.Methods:100 cases of spinal fracture patients who underwent surgi-cal treatment in the hospital from January 2020 to March 2022 were selected as the study subjects,and the patients were divided into the observation group and the control group by using the random number table method,with 50 cases in each group.The con-trol group implemented conventional rehabilitation care,and the observation group implemented early rehabilitation care guided by IBM theory.The rehabilitation compliance,spinal function improvement and pain relief before and after the intervention were com-pared between the two groups,and the occurrence of postoperative complications and quality of life were comprehensively evaluated by carrying out a 6-month short-term follow-up.Results:After care,the excellent rate of rehabilitation adherence in the observa-tion group was higher than that in the control group,and the difference was statistically significant(x2=6.945,P<0.05).After care,the spinal dysfunction(SFI)scores and visual analog pain(VAS)scores of the observation group were lower than those of the con-trol group,and the differences were statistically significant(t=3.120,3.262,P<0.05).During the follow-up period,the complica-tion rate of the observation group was lower than that of the control group,and the difference was statistically significant(x2=5.980,P<0.05).During the follow-up period,the observation group's ability to perform activities of daily living(ADL)score was lower than that of the control group,and the difference was statistically significant(t=3.042,2.705,P<0.05).Conclusion:Based on the IBM theory,the implementation of early rehabilitation nursing care for spinal fracture surgery patients can effectively improve pa-tients'compliance with rehabilitation,which is of positive significance for improving spinal function,relieving pain,reducing the risk of postoperative complications,and improving the quality of life.

Spine fractureInformation-behavior-motivation modelEarly rehabilitation nursingSpine functionPain

李璐、王楠、谢素丽

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中国人民解放军联勤保障部队第九八八医院骨科,河南 郑州 450000

脊柱骨折 信息-动机-行为技巧模型 早期康复护理 脊柱功能 疼痛情况

河南省医学教育研究项目

2021002142

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
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