延续性干预模式对椎动脉型颈椎病应用效果观察

Effect observation of continuous intervention mode in patients with vertebral artery type cervical spondylosis

目的延续性干预模式为新型护理模式,可有效改善多种疾病的病情。本研究观察延续性干预模式对椎动脉型颈椎病临床症状缓解状况及患者自我护理能力影响。方法选取2017-06-30-2018-10-31开封市中医院收治的椎动脉型颈椎病患者作为研究对象,按照年龄、性别和病程组间匹配的原则选择观察组和对照组,各58例。两组均给予常规护理,观察组在常规护理基础上给予延续性护理,对比两组患者临床症状、自我护理能力、焦虑抑郁及依从性情况。结果干预后,观察组患者颈椎功能障碍指数为(34.81±6.68),低于对照组的(45.05±5.26),t=7.425,P<0.001;自我护理技能评分为(32.50±9.79)分,高于对照组的(28.25±7.66)分,t=2.112,P=0.045;自我护理责任感评分为(24.64±3.31)分,高于对照组的(22.32±2.64)分,t=3.382,P=0.002;自我概念评分为(24.89±1.48)分,高于对照组的(21.85±2.37)分,t=6.711,P<0.001;健康知识水平评分为(35.40±7.37)分,高于对照组的(31.59±6.66)分,t=2.362,P=0.022。观察组患者经治疗后医院焦虑量表评分为(3.23±0.67)分,低于对照组的(3.75±1.26)分,t=2.252,P=0.036;抑郁量表评分为(4.08±0.34)分,低于对照组的(4.29±0.24)分,t=3.113,P=0.004;颈椎病院外功能锻炼依从性量表评分为(53.45±1.77)分,高于对照组的(50.05±1.69)分,t=8.561,P<0.001。结论延续性干预模式可缓解椎动脉型颈椎病患者临床症状,提高患者自我护理能力及改善焦虑抑郁情绪,提高患者依从性。

OBJECTIVE The continuous intervention model is a new nursing model,which can effectively improve the condition of a variety of diseases.The purpose of this paper is to study the effect of the continuous intervention model on the relief of clinical symptoms and self-care ability of patients with vertebral artery type cervical spondylotic disease.METHODS Patients with vertebral artery type cervical spondylosis treated in the rehabilitation department of Kaifeng Traditional Chinese Hospital were selected from June 30,2017 to October 31,2018.The observation group and control group were selected according to the principle of matching between age,gender and course group.In 58 cases,the two groups were given routine care.The observation group was given continuous care based on routine care.The clinical symptoms,self-care ability,anxiety,depression,and compliance of the two groups were compared.RESULTS After the intervention,the cervical dysfunction index of the observation group was(34.81±6.68),which was lower than that of the control group(45.05±5.26),t=7.425,P<0.001.The observation group’s self-care ability skills score was(32.50±9.79)points,higher than the control group’s(28.25±7.66)points,t=2.112,P=0.045.Self-care responsibility score was(24.64±3.31)points,higher than the control group’s(22.32±2.64)points,t=3.382,P=0.002.self-concept score was(24.89±1.48)points,higher than the control group(21.85±2.37)points,t=6.711,P<0.001.Health knowledge level score was(35.40±7.37)points,higher than the control(31.59±6.66)points of the group,t=2.362,P=0.022.After treatment,the patients in the observation group scored(3.23±0.67)on the hospital anxiety scale,which was lower than that in the control group(3.75±1.26),t=2.252,P=0.036.The depression scale score was(4.08±0.34),lower than the(4.29±0.24)points of the control group,t=3.113,P=0.004.After treatment,patients in the observation group had a score of(53.45±1.77)on the out-of-hospital functional exercise compliance scale,which was higher than that in the control group(50.05±1.69),t=8.561,P<0.001.CONCLUSIONS Continuous intervention mode can significantly alleviate the clinical symptoms of patients with vertebral artery type cervical spondylosis,improve patients’self-care ability,improve patients’anxiety and depression,and improve patient compliance.