ERAS理念下中医特色护理干预在腰椎间盘突出症术后恐动症患者中的应用

Application of Nursing Intervention with TCM Characteristics Following the Concept of ERAS to Patients with Postoperative Kinesiophobia after LDH Surgery

目的:探讨加快康复外科(ERAS)理念下中医特色护理干预在腰椎间盘突出症(LDH)术后恐动症患者中的应用效果。方法:选取2023年6月1日~11月1日收治的108例LDH术后恐动症患者为研究对象,按照随机数字表法分为研究组和对照组各54例,对照组实施术后常规护理,研究组在常规护理基础上实施ERAS理念下中医特色护理干预;比较两组不同时间疼痛状况[采用疼痛数字评分法(NRS)]、恐动症状况(采用恐动症TSK评分量表)、自我效能[采用一般自我效能感量表(GSES)]。结果:研究组术后1周、出院时、术后1个月恐动症TSK、NRS评分均低于对照组(P<0.01),研究组不同时间GSES评分高于对照组(P<0.01)。结论:基于ERAS理念构建的中医特色护理干预方案可降低LDH术后恐动症患者的恐动程度,减轻患者疼痛,有利于其快速康复。

Objective:To explore the application effect of nursing intervention with TCM characteristics following the concept of ERAS in postoperative kinesiophobia patients with lumbar disc herniation(LDH).Methods:A total of 108 patients with kinesiophobia after LDH surgery,admitted from June 1,2023 to November 1,2023,were selected as the research objects.According to the random number table method,they were divided into the study group and the control group with 54 cases in each group.The routine nursing care was given in the control group and the nursing intervention with TCM characteristics following the concept of ERAS was provided in the study group.The pain(NRS),the degree of kinesiophobia,self-efficacy(GSES)were compared between the two groups at different times.Results:The scores of kinesiophobia and NRS in the study group were lower than those in the control group in one week after operation,at discharge and one month after operation(P<0.01),and the GSES scores in the study group were higher than those in the control group at different time points(P<0.01).Conclusion:The nursing intervention with TCM characteristics based on ERAS concept can reduce and relieve the degree of kinesiophobia and pain in patients after LDH surgery,and is conducive to the rapid recovery of patients.