颈椎术后的家庭康复护理指导

Introduction on family rehabilitation nursing after cervical surgery

目的：探讨颈椎术后患者的家庭康复护理方法及效果。方法：对28例颈椎术后患者进行家庭康复护理指导，随访观察术后3个月并发症的发生率。并与无家庭康复护理指导组的30例患者并发症发生率比较。结果：研究组28例均获随访，随访时间3～8个月，其中肺部感染1例、泌尿系感染1例，褥疮1例，并发症发生率为10．7％。对照组30例均获随访，随访时间6～15个月，其中肺部感染3例、泌尿系感染5例，褥疮2例，并发症发生率为30％。两组并发症发生率差异有显著性（P=0．039）。结论：颈椎术后，高质量的家庭康复护理能够有效降低并发症的发生。对恢复功能，维护患者生命安全及提高生活自理能力有较为重要的作用。

Objective：To investigate the program of family rehabilitation nursing after cervical surgery. Methods ： 28 patients received family rehabilitation nursing education after cervical surgery. During a period of three-month follow-up, the complication incidence was compared with those who received no family rehabilitation nursing program. Results ： In 28 cases with a follow-up of 3 to 8 months,one complicated with pulmonary inflammation, one with urinary system infection and another, bedsore. While the control group（30 cases） suggested 3 cases of complication with pulmonary inflammation, five of urinary system infection and two of decubitus ulcer during the 6 to 15 months of following visit. The complication rate 10.7% was against 30% in the control group, which indicated significant difference （ P = 0. 039 ）. Conclusion ： Well-programmed family rehabilitation nursing can lead to reduction of complications and further improve recovery of the patients.