针灸理疗联合康复护理干预对腰椎间盘突出症的效果分析

Analysis of Effect of Acupuncture and Physiotherapy Combined with Rehabilitation Nursing Intervention on Lumbar Disc Herniation

目的探讨针灸理疗联合康复护理干预对腰椎间盘突出症的临床效果.方法选取该院康复医学科2017年10月—2019年8月收治的腰椎间盘突出症患者96例,按随机数字表法分为观察组与对照组,每组48例.对照组采用针灸理疗干预,观察组在对照组基础上采用康复护理干预.比较两组的临床疗效、腰椎功能、疼痛情况及心理状态等.结果观察组的临床总有效率为93.75%,显著高于对照组的75.00%,组间差异有统计学意义(P<0.05).干预前,两组的日本骨科协会评分(Japanese orthopaedic association scores,JOA)及疼痛视觉模拟评分(visual analogue scale,VAS)比较,组间差异无统计学意义(P>0.05);干预后,观察组的JOA评分显著高于对照组,VAS评分显著低于对照组,组间差异有统计学意义(P<0.05).干预前,两组的焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的SAS(46.80±5.48)分、SDS(58.16±5.10)分均显著低于对照组的(54.23±6.91)分、(65.72±6.81)分,组间差异有统计学意义(P<0.05).出院后随访1个月,观察组患者的康复训练知识掌握率95.83%、康复训练正确率89.58%,均显著高于对照组的72.92%、64.58%,组间差异有统计学意义(P<0.05).出院后随访1个月,观察组的遵医用药、合理饮食、腰腿部锻炼、生活方式良好及避免诱发因素等遵医行为均显著优于对照组,组间差异有统计学意义(P<0.05).观察组的护理工作总满意率为95.83%,显著高于对照组的70.83%,差异有统计学意义(P<0.05).结论腰椎间盘突出症患者采用针灸理疗联合康复护理干预能有效提高临床疗效,改善腰椎功能,减轻疼痛,消除不良情绪,并能提高患者的遵医行为、康复训练知识掌握率、康复训练正确率和护理满意率,值得临床推广应用.

Objective To explore the clinical effects of acupuncture and physiotherapy combined with rehabilitation nursing intervention on lumbar disc herniation.Methods 96 patients with lumbar disc herniation admitted to the rehabilitation medicine department of the hospital from October 2017 to August 2019 were selected,and were divided into observation and control groups according to the random number table method,with 48 cases in each group.The control group used acupuncture and physical therapy intervention,and the observation group used rehabilitation nursing intervention on the basis of the control group.The clinical efficacy,lumbar function,pain and mental state of the two groups were compared.Results The total clinical effective rate of the observation group was 93.75%,which was significantly higher than the 75.00%of the control group,and the difference between the groups was statistically significant(P<0.05).Before the intervention,the comparison of the Japanese orthopaedic association scores(JOA)and pain visual analogue scale(VAS)scores between the two groups showed no significant difference(P>0.05);after the intervention,the JOA score of the observation group was significantly higher than that of the control group,and the VAS score was significantly lower than that of the control group,and the difference between the groups was statistically significant(P<0.05).The comparison of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)scores of the two groups before intervention showed no significant difference between the groups(P>0.05);after the intervention,the SAS(46.80±5.48)points and SDS(58.16±5.10)points of the observation group were significantly lower than those of the control group(54.23±6.91)points and(65.72±6.81)points,and the difference between the groups was statistically significant(P<0.05).One month after discharge,the observation group had a 95.83%knowledge of rehabilitation training and 89.58%of the correct rehabilitation training,which was significantly higher than 72.92%and 64.58%in the control group,and the difference between the groups was statistically significant(P<0.05).One month after discharge,observation group's compliance with medical drugs,reasonable diet,waist and leg exercises,good lifestyle and avoidance of predisposing factors were significantly better than those of the control group,and the difference between the groups was statistically significant(P<0.05).The overall satisfaction rate of nursing work in the observation group was 95.83%,which was significantly higher than 70.83%in the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with lumbar disc herniation using acupuncture and physiotherapy combined with rehabilitation nursing intervention can effectively improve the clinical efficacy,improve lumbar function,relieve pain,eliminate bad emotions,and improve the patient’s compliance behavior,rehabilitation training knowledge mastery,rehabilitation training accuracy rate and nursing care.The satisfaction rate is worthy of clinical application.