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对神经根型颈椎病患者实施中医护理临床路径的效果分析 被引量:3

Analysis of the Effect of Implementing TCM Nursing Clinical Pathway for Patients With Radiculopathy of Cervical Spondylosis
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摘要 目的研究神经根型颈椎病(cervical spondylotic radiculopathy,CSR)患者行中医护理临床路径的效果。方法数据取医院2014年1月—2021年2月收治的60例CSR患者,采用随机数字表法分为参照组(常规护理,n=30)、路径组(中医护理临床路径,n=30),比较2组疗效。结果护理前比较生活质量、颈椎活动度及临床指标差异无统计学意义(P>0.05);护理后与参照组比较,路径组36条目简明健康调查表(the MOS 36-item short form health survey,SF-36)评分更高;颈椎屈伸范围增加、颈椎侧弯及旋转范围减小;颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)评分更高、视觉模拟评分法(visual analogue scale/score,VAS)评分更低;路径组护理满意率(96.67%)高于参照组(76.67%),χ2=5.1923,P=0.0226,P<0.05。结论中医护理临床路径能提高此病的护理效果、促进颈椎功能恢复。 Objective To study the effect of the clinical pathway of traditional Chinese medicine nursing for patients with cervical spondylotic radiculopathy(CSR).Methods Data were collected from 60 CSR patients admitted to our hospital from January 2014 to Feburary 2021.Using a random number table method,they were divided into the reference group(conventional nursing,n=30)and the pathway group(Chinese medicine nursing clinical pathway,n=30),and the curative effects of the two groups were compared.Results There was no significant difference in quality of life,cervical spine mobility and clinical indicators before nursing(P>0.05);after nursing,compared with the control group,the observation group had a higher MOS 36-item short form health survey score;the cervical spine flexion and extension range increased,and the cervical scoliosis and rotation range decreased.The CASCS score was higher and the VAS score was lower;the nursing satisfaction rate of the observation group(96.67%)was higher than that of the control group(76.67%),χ2=5.1923,P=0.0226,P<0.05.Conclusion The clinical path of TCM nursing can improve the nursing effect of this disease and promote the recovery of cervical spine function.
作者 李才英 LI Caiying(Department of Traditional Chinese Medicine,Shipai Hospital of Dongguan City,Dongguan Guangdong 523330,China)
出处 《中国卫生标准管理》 2021年第13期141-144,共4页 China Health Standard Management
关键词 神经根型颈椎病 中医护理临床路径 颈椎功能 生活质量 疼痛程度 满意度 cervical spondylotic radiculopathy clinical pathway of traditional Chinese medicine nursing cervical spine function quality of life pain degree satisfaction
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