摘要
目的:探究基于前馈控制理念的干预措施在腰椎管狭窄症患者围术期中的应用效果。方法:选取2019年6月至2021年1月期间清华大学附属北京清华长庚医院收治的65例腰椎管狭窄症且需行手术治疗患者随机分为研究组33例和对照组32例,两组均进行常规手术护理,其中研究组在此基础上增加基于前馈控制理念的干预措施。比较两组患者手术指标(手术时间、术中出血量、下床活动时间、肛门排气时间、住院时间);术前及术后7 d时,比较两组患者应对方式〔医学应对问卷(MC-MQ)〕。术前及术后3个月时,比较两组患者功能障碍程度〔Oswestry功能障碍指数问卷表(ODI)〕和日常生活能力〔巴氏量表(BI)〕;住院期间比较两组患者并发症发生情况(压疮、尿潴留、尿路感染、下肢静脉血栓)。结果:两组患者手术时间、术中出血量比较,差异无统计学意义(P>0.05),但研究组患者下床活动时间、肛门排气时间、住院时间均明显低于同时间对照组(P<0.05);术后7d时,研究组患者面对的分数明显高于同时间对照组(P<0.05),回避和屈服的分数明显低于同时间对照组(P<0.05);术后3个月时,两组患者ODI评分较术前均有明显降低(P<0.05),且研究组明显低于对照组(P<0.05);两组患者BI评分均较术前有明显升高(P<0.05),且研究组明显高于同时间对照组(P<0.05);研究组患者住院期间并发症发生率明显低于同时间对照组(P<0.05)。结论:将基于前馈控制理念的干预措施应用在腰椎管狭窄症患者围术期的护理中,能有效加快其术后康复进度,引导患者积极乐观地面对疾病,减少患者围术期并发症的发生,提高其腰背功能及日常生活能力,对患者预后康复有利。
Objectivee To investigate the effectiveness of an intervention based on the concept of feed-forward control in the perioperative period of patients with lumbar spinal stenosis.Methods Sixty-five patients with lumbar spinal stenosis admitted to this hospital from June 2019 to January 2021 and requiring surgical treatment were randomly divided into 33 patients in the study group and 32 patients in the control group,and both groups underwent routine surgical care,to which the study group added interventions based on the concept of feed-forward control.The surgical indicators(operative time,intraoperative bleeding,time to get out of bed,time to anal venting,and hospital stay)were compared between the two groups;the coping styles[Medical Coping Questionnaire(MC-MQ)] were compared between the two groups before and at 7 d after surgery.The degree of functional impairment[Oswestry Dysfunctional Index Questionnaire(ODI)] and the ability to perform daily activities[Bartholomew Scale(BI)] were compared between the two groups before and at 3 months after surgery;the occurrence of complications(pressure sores,urinary retention,urinary tract infections,venous thrombosis of the lower limbs)was compared between the two groups during hospitalization.Results When comparing the operation time and intraoperative bleeding between the two groups,the differences were not statistically significant(P>0.05),but the time to get out of bed,the time to vent the anus,and the length of hospital stay were significantly lower in the study group than in the same-time control group(P<0.05);at 7 d postoperatively,the scores of patients in the study group who faced were significantly higher than those in the same-time control group(P<0.05),and the scores of avoidance and yielding were significantly lower than those in the same-time control group(P<0.05);at 3 months postoperatively,ODI scores were significantly lower in both groups compared with preoperative scores(P<0.05),and significantly lower in the study group than in the control group(P<0.05);B
作者
李慧敏
吕茵茵
李彩宏
许平平
刘华玮
Li Huimin;Lwy Yinyin;Li Caihong;Xu Pingping;Liu Huawei(Tsinghua Changgeng Hospital,Tsinghua University,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)
出处
《国际护理学杂志》
2023年第7期1253-1258,共6页
international journal of nursing
关键词
腰椎管狭窄症
前馈控制理念
围术期
护理
Lumbar spinal stenosis
Feedforward control concept
Perioperative
Care
