摘要
目的探讨互联网+康复护理服务和延续性护理与常规护理对骨质疏松性腰椎压缩骨折(OLCF)患者术后康复作用的效果。方法采用回顾性病例对照研究分析2018年5月至2019年10月河南医学高等专科学校附属医院收治的123例OLCF患者的临床资料,其中男46例,女77例;年龄56~74岁[(65.3±5.4)岁]。损伤节段:L_(1)93例,L_(2)19例,L_(3)10例,L_(4)1例。骨折Denis分型:A型26例,B型30例,C型27例,D型40例。患者均行经皮椎体后凸成形术(PKP)治疗。62例给予互联网+康复护理服务和延续性护理指导(A组),61例在出院时给予常规护理健康宣教(B组)。比较两组干预前和干预后3个月日本骨科学会(JOA)评分、视觉模拟评分(VAS)、骨质疏松症健康信念量表(OHBS)评分、成年人健康自我管理能力测评量表(AHSMSRS)评分,干预3个月后采用自制问卷和纽卡斯尔护理服务满意度量表(NSNS)评估遵医率及护理满意度。结果患者均获随访3~6个月[(4.5±1.2)个月]。A组干预前JOA评分为(12.1±2.1)分,干预后3个月为(23.0±1.1)分;干预前VAS为(4.4±1.3)分,干预后3个月为(1.5±0.6)分;干预前OHBS评分为(81.4±4.0)分,干预后3个月为(121.6±9.7)分;干预前AHSMSRS评分为(96.3±3.5)分,干预后3个月为(143.5±11.0)分。B组干预前JOA评分为(12.3±2.1)分,干预后3个月为(20.4±1.2)分;干预前VAS为(4.2±1.4)分,干预后3个月为(3.6±1.1)分;干预前OHBS评分为(82.1±3.7)分,干预后3个月为(108.7±9.4)分;干预前AHSMSRS评分为(97.1±3.8)分,干预后3个月为(127.7±9.9)分。两组JOA评分、VAS、OHBS评分和AHSMSRS评分均优于干预前(P<0.01),干预后3个月A组各项评分均优于B组(P<0.01)。A组干预后3个月遵医率和护理满意度分别为90%(56/62)、94%(58/62),B组则分别为74%(45/61)、75%(46/61)(P<0.05或0.01)。结论与常规护理比较,互联网+康复护理服务和延续性护理能促进OLCF患者术后腰椎功能恢复,减轻疼痛,提高自我管理能力和遵医行�
Objective To investigate the effect of Intemet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture(OLCF).Methods A retrospective case-ontrol study was conducted to analyze the clinical data of 123 patients with OLCF adnmitted to Affliated Hospital of Henan Medical College from May 2018 to October 2019.There were 46 males and 77 females,aged 56-74 years[(65.3±5.4)years].The level of injury was located at L_(1) in 93 patients,L_(2) in 19,L_(3)in 10,and L_(4) in 1.The Denis fracture classification was type A in 26 patients,type B in 30,typeC in 27,and type D in 40.All patients were treated by percutaneous kyphoplasty(PKP).A total of 62 patients were given Internet plus rehabiltation care services and continual care guidance(Group A).and 61 patients were given routine care health education before discharge(Group B).The Japanese orthopaedic association(JOA)score,visual analoge score(VAS),osteoporosis health confidence scale(OHBS)score,and adult health self-management ability asessment scale(AHSMSRS)score were recorded before and after intervention.The self-made questionnaires and Newcastle nursing service satisfaction scale(NSNS)were used to evaluate the compliance rate and nursing satisfaction after 3 months of intervention.Results All patients were fllowed up for 3-6 months[(4.5±1.2)months].In Group A,the J0A score was(12.1±2.1)points before intervention and(23.0±1.1)points after 3 months of intervention;the VAS was(4.4±1.3)points before intervention and(1.5±0.6)points ater 3 months of intervention;the OHBS score was(81.4±4.0)points before intervention and(121.6±9.7)points after 3 months of intervention;the AHISMSRS score was(96.3±3.5)points before intevention and(143.5±11.0)points after 3 months of intervention.In Group B,the J0A score was(12.3±2.1)points before intervention and(20.4±1.2)points after3 months of intervention;the VAS was(4.2±1.4)points before intervention and(3.6±1.1)points after 3 months of
作者
张继娜
赵姜楠
周燕
高延征
Zhang Jina;Zhao Jiangnan;Zhou Yan;Gao Yanzheng(Department of Nursing,Henan Medical Collge,Xinzheng 451191,China;Department of Orhopedics,Affiliated Hospital of Henan Medical College,Xinzheng 451191,China;Department of Spine Surgery,Henan Prouincial People's Hospital,Zhengzhou 450003.China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2021年第3期261-266,共6页
Chinese Journal of Trauma
关键词
计算机通信网络
骨质疏松
自我护理
护理过程
Computer communiction networks
Osteoporosis
Self-care
Nursing process
