首页|目标策略模式下知信行干预在脊柱内镜术后患者中的护理应用

目标策略模式下知信行干预在脊柱内镜术后患者中的护理应用

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目的 探讨目标策略模式下知信行干预在脊柱内镜术后患者中的护理应用.方法 选取2021年1月至2022年12月腰椎间盘突出症合并腰椎管狭窄症患者.2022年1月至12月60例为观察组.2021年1月至12月腰椎间盘突出症合并腰椎管狭窄症患者60例为对照组,对照组给予常规护理,观察组给予常规护理+目标策略模式下知信行干预.两组患者出院后继续予延续性护理共3个月,记录并比较护理前后两组患者自我效能评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、日本骨科协会(JOA)评分、生活质量各维度评分及护理满意度.结果 两组患者护理后的JOA评分与自我效能评分均升高,且观察组高于对照组(P<0.05),SAS评分、SDS评分均降低,且观察组低于对照组.两组患者护理后生活质量各维度评分均升高,且观察组高于对照组(P<0.05);观察组患者护理满意度为90.00%,明显高于对照组75.00%,差异有统计学意义(P<0.05).结论 目标策略模式下知信行干预在脊柱内镜术后患者中具有良好的护理效果,能有效减少焦虑、抑郁情绪、提高患者的自我效能、腰椎功能及生活质量,且护理满意度高,具有临床应用价值.
Objective To study the nursing effect of knowledge,belief and practice intervention in patients after spinal endoscopic surgery under the target strategy mode.Methods The patients with lumbar disc herniation and lumbar spinal stenosis admitted to our hospital from January 2021 to December 2022 were selected as the study subjects.The 60 patients received from January 2021 to December 2021 were taken as the control group,and the 60 patients received from January 2022 to December 2022 were taken as the study group.The patients in both groups were given the same treatment method and operation plan,the control group was given routine nursing after operation,and the study group was given knowledge,belief and practice intervention under the mode of conventional nursing+target strategy.The two groups of patients continued to receive continuous care for a total of 3 months after discharge,the self-efficacy scores,anxiety self rating scale(SAS)scores,depression self rating scale(SDS)scores,Japanese Orthopedic Association UOA)scores,quality of life scores,and nursing satisfaction were recorded and compared between the two groups before and after care.Results The SAS score and SDS score decreased,and the study group was lower than the control group.The JOA score and self-efficacy score of the two groups of patients after nursing were both increased,and the research group was significantly higher than the control group(P<0.05).The anxiety and depression scores were both reduced,and the research group was lower than the control group.After nursing,the scores of each dimension of quality of life in both groups of patients increased,and the study group was higher than the control group(P<0.05).The nursing satisfaction of the study group patients was 90.00%,significantly higher than that of the control group patients(75.00%),with a statistically significant difference(P<0.05).Conclusion Knowledge,belief,and behavior intervention under the target strategy mode has good nursing effects in patients after spinal endoscopic surgery,which can effectively reduce anxiety and depression,improve self-efficacy,lumbar function,and quality of life of patients,and have high nursing satisfaction,which has clinical application value.

Target strategy modeKnowledge,belief and practice interventionLumbar disc herniationSpine endoscopeNursing effect

姚秀芬、吴晓霞、陈如华、魏坤阳

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324004 浙江省医疗健康集团衢州医院(浙江衢化医院)

目标策略模式 知信行干预 腰椎间盘 脊柱内镜 护理应用

衢州市科技局指导性科技攻关计划(第一批)

2022086

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(3)
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