首页|快速康复结合时效性激励理论干预在脊柱侧凸手术患者中的应用效果

快速康复结合时效性激励理论干预在脊柱侧凸手术患者中的应用效果

The application effect of rapid rehabilitation intervention combined with timeliness incentive theory in patients with scoliosis surgery

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目的 以快速康复、时效性激励理论为指导,对脊柱侧凸手术患者实施相应干预,旨在促进患者术后良好康复.方法 选取2022年3月-2023年3月于河北医科大学第三医院进行后路矫形内固定术治疗的脊柱侧凸患者80例,采用随机数表法分为观察组(40例,快速康复结合时效性激励理论干预)和对照组(40例,常规护理).对所有患者进行至少为期3个月的跟踪随访,对比2组干预前后疼痛、心理状态、腰椎功能以及术后并发症发生情况.结果 干预后1、2、3个月,观察组的视觉疼痛模拟评分法(VAS)评分均低于对照组(P<0.05).相较于对照组,观察组干预后和末次随访时抑郁自评量表(SDS)、焦虑自评量表(SAS)、腰痛评分标准(ODI)以及脊柱侧凸研究问卷表(SRS-22)评分较低,Berg平衡量表(BBS)较高(P<0.05).观察组术后腰痛总发生率低于对照组[25.00%(10/40)vs.47.50%(19/40),P<0.05].2 组术后发热[2.50%(1/40)vs.10.00%(10/40)]、单侧下肢皮温异常[5.00%(2/40)vs.15.00%(6/40)]、呼吸道水肿或炎症[0vs.2.50%(1/40)]、术后髋关节疼痛[27.50%(11/40)vs.47.50%(19/40)]比较,差异均无统计学意义(P>0.05).结论 快速康复结合时效性激励理论干预,可显著减轻脊柱侧凸手术患者术后疼痛感,改善情绪反应,并促进术后康复.
Objective Under the guidance of the theory of rapid recovery and timeliness incentive,the corresponding in-tervention was carried out on the patients with scoliosis surgery,aiming at promoting the good postoperative recovery of the patients.Methods From March 2022 to March 2023,80 patients with scoliosis who underwent posterior orthopedic in-ternal fixation enrolled in the Third Hospital of Hebei Medical University were chosen and separated into the observation group(n=40,rapid rehabilitation combined with timeliness incentive theory)and the control group(n=40,routine nursing)by random number table method.All patients were followed up for at least 3 months.Pain,mental state,lum-bar function,and postoperative complications were compared between the two groups before and after intervention.Re-sults Visual analogue scale(VAS)scores in the observation group were lower than those in the control group after 1/2/3 months of intervention(P<0.05).Compared with the control group,the self-rating depression scale(SDS)/self-rat-ing anxiety scale(SAS),Oswestry disability index(ODI),and scoliosis research scale(SRS-22)scores in the observa-tion group were lower after intervention and at the last follow-up,while Berg balance scale(BBS)scores were higher(P<0.05).The total incidence of postoperative low back pain in the observation group was lower[(25.00%(10/40)vs.47.50%(19/40),P<0.05].There was no statistically significant difference in the incidences of postoperative fever[2.50%(1/40)vs.10.00%(10/40)],unilateral lower extremity skin temperature abnormality[5.00%(2/40)vs.15.00%(6/40)],respiratory edema or inflammation[0 vs.2.50%(1/40)]and hip pain[27.50%(11/40)vs.47.50%(19/40)]between the two groups(P>0.05).Conclusion Rapid rehabilitation combined with timeliness in-centive theory can significantly reduce the postoperative pain of patients undergoing scoliosis surgery,improve emotional response,and promote postoperative rehabilitation.

Rapid rehabilitation nursingTimeliness incentive theoryScoliosisPainMental statePostoperative reha-bilitation

王瑞玲、申勇

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河北医科大学第三医院脊柱一科,河北石家庄 050000

快速康复护理 时效性激励理论 脊柱侧凸 疼痛 心理状态 术后康复

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(12)