首页|基于预康复理念的护理在腰椎间盘突出症手术患者中的应用效果

基于预康复理念的护理在腰椎间盘突出症手术患者中的应用效果

扫码查看
目的:观察基于预康复理念的护理在腰椎间盘突出症手术患者中的应用效果.方法:选取2022年1月至2023年1月该院收治的腰椎间盘突出症患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各44例.对照组予以常规护理,研究组在对照组基础上采用基于预康复理念的护理.比较两组护理前后疼痛程度[视觉模拟评分法(VAS)]、焦虑情绪[焦虑自评量表(SAS)]、腰椎功能[Oswestry功能障碍指数(ODI)]评分,以及并发症发生率.结果:术后3 d、1个月,两组VAS评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);术前、术后1个月,两组SAS评分均低于首次就诊时,且研究组低于对照组,差异有统计学意义(P<0.05);术后1个月,两组ODI评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用基于预康复理念的护理可降低腰椎间盘突出症手术患者术后VAS评分、SAS评分、ODI评分和并发症发生率的效果优于单纯常规护理.
Application effects of pre-rehabilitation concept-based nursing on patients with lumbar disc herniation surgeries
Objective:To observe application effects of pre-rehabilitation concept-based nursing on patients with lumbar disc herniation surgeries. Methods:A prospective study was conducted on patients with lumbar disc herniation admitted to this hospital from January 2022 to January 2023. According to the random number table method,they were divided into study group and control group,44 cases in each group. The control group was given routine nursing,while the study group was given the pre-rehabilitation concept-based nursing on the basis of that of the control group. The pain degree[visual analogue scale (VAS)]score,the anxiety[self-rating anxiety scale (SAS)]score,the lumbar function[Oswestry dysfunction index (ODI)]score before and after the nursing,and the incidence of postoperative complications were compared between the two groups. Results:Three days and 1 month after the surgery,the VAS scores of the two groups were lower than those before the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant (P<0.05). Before and 1 month after the surgery,the SAS scores of the two groups were lower than those at the first visit,those in the study group were lower than those in the control group,and the differences were statistically significant (P<0.05). One month after the surgery,the ODI scores of the two groups were lower than those before the surgery,that in the study group was lower than that in the control group,and the differences were statistically significant (P<0.05). Further,the incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant (P<0.05). Conclusions:On the basis of the routine nursing,the pre-rehabilitation concept-based nursing can reduce the postoperative VAS scores,SAS scores,ODI scores and the incidence of complications in the patients with lumbar disc herniation. Moreover,it is superior to simple routine nursing.

Lumbar disc herniationPre-rehabilitation conceptPain degreeAnxietyLumbar functionComplication

郑琰琰、孙玮、郭春霞

展开 >

郑州市骨科医院颈肩腰腿疼科,河南 郑州 450000

腰椎间盘突出症 预康复理念 疼痛程度 焦虑情绪 腰椎功能 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(23)