同伴支持教育联合渐进式康复护理腰椎管狭窄症患者中的应用研究

Application of Peer Support Education Combined with Progressive Rehabilitation Nursing in Patients with Lumbar Spinal Stenosis

目的探讨同伴支持教育联合渐进式康复护理对腰椎管狭窄症(LSS)的具体影响.方法选择2021年8月—2023年9月于山东省聊城市第二人民医院收治的80例LSS患者为研究对象,按随机数字表法将其分为对照组与观察组,各40例.对照组采用常规围手术期干预,观察组采用同伴支持教育联合渐进式康复护理.比较两组围手术期指标、疼痛程度、自我效能和并发症.结果护理后,观察组手术时间、住院时间均短于对照组,术中出血量少于对照组,疼痛视觉模拟评分、并发症发生率均低于对照组,一般自我效能感量表评分高于对照组,组间差异有统计学意义(P<0.05).结论在LSS手术患者中实施同伴支持教育联合渐进式康复护理,能够促进疾病康复,减少术中出血量,减轻疼痛,提高患者自我效能,还可减少术后并发症.

Objective To explore the effect of peer support education combined with progressive rehabilitation nursing on lumbar spinal stenosis(LSS).Methods From August 2021 to September 2023,80 patients with LSS admitted to the Second People's Hospital of Liaocheng in Shandong Province were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group received routine perioperative intervention,while the observation group received peer support education combined with progressive rehabilitation nursing.The perioperative indicators,pain degree,self-efficacy and complications were compared between the two groups.Results After nursing the operation time and hospitalization time of the observation group were shorter than those of the control group,the amount of bleeding during the operation was less than that of the control group,the visual analogue scale score of pain and the incidence of complications were lower than those of the control group,the general self-efficacy scale score was higher than that of the control group,the differences were statistically significant between the two group(P<0.05).Conclusion The application of peer support education combined with progressive rehabilitation nursing in patients with LSS surgery can promote disease rehabilitation,reduce intraoperative blood loss,relieve pain,improve patients'self-efficacy,and reduce postoperative complications.