家属协同延续性康复模式在颈椎后纵韧带骨化症术后患者中的应用

Application of family collaborated continuous rehabilitation pattern in patients after operation with ossification of cervical posterior longitudinal ligament

目的研究家属协同延续性康复模式在颈椎后纵韧带骨化症术后患者中的应用效果。方法选取2019年6月~2021年5月哈尔滨医科大学附属第一医院骨科病房收治的89例颈椎后纵韧带骨化症患者为研究对象,根据病房分区随机分为实验组(47例)和对照组(42例),对照组采用常规术后康复模式,实验组采用家属协同延续性康复模式;分别于出院时、术后3个月、术后6个月评价两组患者自我效能(Chronic Disease Self-Efficacy Scale,CDSES)、生活自理能力(Activity of Daily Living Scale,ADLS)、复诊依从性、诊疗满意度。结果出院时两组患者CDSES评分、ADL评分比较,无统计学差异(P>0.05),术后3个月、术后6个月实验组CDSES评分、ADLS评分、复诊率均明显高于对照组(P<0.01);出院时、术后3个月、术后6个月实验组诊疗满意度均高于对照组,术后6个月时两组比较差异有统计学意义(P<0.05)。结论家属协同延续性康复模式可显著提高颈椎后纵韧带骨化症术后患者自我效能、生活自理能力和复诊依从性,提升诊疗满意度。

Objective To study the application effect of family collaborated continuous rehabilitation pattern in patients after operation with ossification of cervical posterior longitudinal ligament.Methods From June 2019 to May 2021,89 patients with ossification of cervical posterior longitudinal ligament treated in the Department of Orthopedics of the First Affiliated Hospital of Harbin Medical University were selected.They were randomly divided into experimental group(47 cases)and control group(42 cases)according to the bed number.The control group adopted the conventional postoperative rehabilitation pattern,and the experimental group adopted the family collaborated continuous rehabilitation pattern.The differences between the two groups were analyzed by comparing the self-efficacy(Chronic Disease Self-Efficacy Scale,CDSES),self-care ability(Activity of Daily Living Scale,ADLS),follow-up compliance and treatment satisfaction at the time of discharge,3 months after operation and 6 months after operation.Results There was no significant difference in CDSES score,ADLS score and treatment satisfaction between the two groups at discharge(P>0.05).The CDSES score,ADLS score and follow-up rate of the experimental group were significantly higher than those of the control group at 3 and 6 months after operation(P<0.01).At 6 months after operation,the treatment satisfaction in the experimental group was higher than that in the control group(P<0.05).Conclusion Family collaborated continuous rehabilitation pattern can significantly improve the self-efficacy,self-care ability,follow-up compliance and treatment satisfaction of patients with cervical posterior longitudinal ligament ossification.It is worthy of clinical promotion.