摘要
目的 探讨康复护理知识与功能训练前移对椎管狭窄术后患者功能康复效果影响。方法将2017年1月至2018年6月行腰椎椎管狭窄手术80例患者按入院时间分为对照组和干预组,各40例;对照组按椎管狭窄手术护理常规护理,干预组实施康复护理知识宣教与功能训练前移模式护理,术后对两组患者掌握康复护理知识和康复训练、腰椎功能康复、健康行为进行评价。结果 出院1周掌握术后康复护理知识评分:干预组(68.7±3.6)分,对照组(63.5±3.7)分,两组比较差异有统计学意义(P<0.001);掌握康复训练活动评分:干预组(56.7±3.4)分,对照组(52.8±3.6)分,两组比较差异有统计学意义(P<0.001)。术后首次踝泵股四头肌训练时间:干预组(4.1±1.2)h,对照组(4.9±1.5)h,两组比较差异有统计学意义(P<0.05),直腿抬高:干预组(14.3±1.5)h,对照组(16.5±1.4)h,两组比较差异有统计学意义(P<0.001)。腰椎ODI评分:干预组出院1周(37.8±6.4)分、出院4周(34.3±4.3)分,对照组分别为(41.8±6.6)分、(36.8±4.6)分,两组比较差异均有统计学意义(均P<0.05)。健康行为评分:干预组出院1周(47.4±1.6)分、出院4周(55.5±1.3)分,对照组分别为(45.8±1.5)分、(52.6±1.4)分,两组比较差异均有统计学意义(均P<0.001)。结论 功能康复训练前移护理模式能提高患者对术后康复护理知识和康复训练技能的掌握,促进患者术后早期康复训练,减轻腰椎功能障碍症状,提高患者术后腰椎功能康复质量。
Objective To explore the effects of rehabilitation nursing knowledge and functional training in advance on functional rehabilitation of patients with spinal stenosis after operation.Methods 80 patients who underwent lumbar spinal stenosis surgery from January,2017 to June,2018 were divided into a control group and an intervention group according to the admission time.The control group was given routine nursing care according to spinal stenosis surgery.The intervention group took rehabilitation nursing knowledge education and function training in advance.The knowledge,rehabilitation training,lumbar function rehabilitation,and health behaviors of both groups were evaluated after operation.Results One week after discharge,the score of mastery of postoperative rehabilitation nursing knowledge and the score of mastery of rehabilitation training activities were higher in the intervention group than in the control group[(68.7±3.6)vs.(63.5±3.7)and(56.7±3.4)vs.(52.8±3.6)],with statistical differences(P<0.001).The first training time of quadriceps femoris and the straight leg elevation were earlier in the intervention group than in the control group[(4.1±1.2)h vs.(4.9±1.5)h and(14.3±1.5)h vs.(16.5±1.4)h],with statistical differences(P<0.05).1 and 4 weeks after discharge,the ODI scores of lumbar vertebrae were lower in the intervention group than in the control group[(37.8±6.4)vs.(41.8±6.6)and(34.3±4.3)vs.(36.8±6.4)],with statistical differences(P<0.05).1 and 4 weeks after discharge,the scores of health behavior were higher in the intervention group than in the control group[(45.8±1.5)vs.(47.4±1.6)and(52.6±1.4)vs.(55.5±1.3)],with statistical differences(P<0.001).Conclusions Functional rehabilitation training nursing mode in advance can improve the patients’postoperative rehabilitation nursing knowledge and skills,promote their early postoperative rehabilitation training,reduce the symptoms of lumbar dysfunction,and improve their quality of postoperative lumbar functional rehabilitation
作者
周敏静
刘洁珍
蒋耀颖
董婉华
郭东明
肖文德
Zhou Minjing;Liu Jiezhen;Jiang Yaoying;Dong Wanhua;Guo Dongming;Xiao Wende(Guangzhou First People's Hospital,GuangZhou 510180,China)
出处
《国际医药卫生导报》
2018年第18期2871-2874,共4页
International Medicine and Health Guidance News
关键词
康复护理
功能训练前移
椎管狭窄
康复效果
Rehabilitation nursing care
Functional training in advance
Spinal canal stenosis
Rehabilitation effect
