首页|行为转变理论管理模式结合改良俯卧位护理对脊柱手术患者术后疼痛、康复的影响

行为转变理论管理模式结合改良俯卧位护理对脊柱手术患者术后疼痛、康复的影响

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目的 探讨行为转变理论管理模式结合改良俯卧位护理在脊柱手术患者中的应用价值.方法 选取漯河市骨科医院2021年1月至2022年12月就诊的腰5/骶1椎间盘突出症患者85例,根据护理方法分为研究组(43例)和对照组(42例).对照组接受常规护理结合常规俯卧位护理,研究组接受行为转变理论管理模式结合改良俯卧位护理,比较两组腰椎功能[Oswestry功能障碍指数(ODI)]、腰椎活动度、疼痛评分[视觉模拟量表(VAS)]、自我管理行为、并发症发生率、生活质量[生活质量综合评定问卷-74(GQOL-74)].结果 干预后研究组自我管理能力量表、GQOL-74评分较对照组高,ODI较对照组低(P<0.05);干预后研究组屈曲、旋转、侧屈活动度高于对照组(P<0.05);出院当天、干预1个月后研究组VAS评分低于对照组(P<0.05);两组间并发症总发生率比较,差异无统计学意义(P>0.05).结论 行为转变理论管理模式结合改良俯卧位护理可减轻脊柱手术患者术后疼痛,提升自我管理能力,促进腰椎功能康复,提升生活质量.
Effect of Behavioral Change Theory Management Model Combined with Improved Prone Position Nursing on Postoperative Pain and Rehabilitation of Patients Undergoing Spinal Surgery
Objective To explore the application value of behavioral change theory management model combined with improved prone position nursing in spinal surgery patients.Methods A total of 85 patients with lumbar 5/sacral 1 disc herniation treated in Luohe Orthopaedic Hospital from January 2021 to December 2022 were selected and divided into study group(43 cases)and routine group(42 cases)according to different nursing methods.The conventional group was given routine nursing combined with routine prone position nursing,and the study group was given behavioral change theory management model combined with improved prone position nursing.The lumbar function[oswestry dysfunction index(ODI)],lumbar motion,pain score[visual analogue scale(VAS)],self-management behavior,complication rate,and quality of life[generic quality of life inventory 74(GQOL-74)].Results After intervention,the scores of self-management ability scale,GQOL-74 scores were higher than those of the conventional group,and the ODI of the study group was lower than that of the conventional group(P<0.05).After intervention,the flexion,rotation and lateral flexion of the study group were higher than those of the conventional group(P<0.05).The VAS score of the study group was lower than that of the conventional group on the day of discharge and 1 month after intervention(P<0.05).There was no significant difference in the total incidence of complications between groups(P>0.05).Conclusion Behavioral change theory management model combined with improved prone position nursing can alleviate postoperative pain,improve self-management ability,promote the rehabilitation of lumbar function and improve the quality of life of spinal surgery patients.

behavior change theoryimproved prone position nursingspinal surgerypainlumbar function

刘兰花、李慧、刘欢欢、刘静、李雪娇

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漯河市骨科医院骨科,河南漯河 462300

漯河市骨科医院手术室,河南漯河 462300

行为转变理论 改良俯卧位护理 脊柱手术 疼痛 腰椎功能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(9)
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