术前适应性训练对颈椎前路手术的影响

In front of technique adaptability training to cervical vertebra road ahead surgery influence

目的探讨术前适应性训练在颈前路手术患者护理中的应用效果。方法将42例颈椎病行颈椎前路椎管减压结合植骨融合的患者随机分为训练组合对照组,各41例。对照组采用常规术前准备,未进行术前适应性训练,训练组由责任护士利用口头讲解动作示范进行充分训练。结果与对照组比较观察组术后并发症发生率显著降低(<0.05);遵医行为改善更为显著(<0.01);住院患者满意度显著提高(<0.01);术中术后SpO2监测值在两组间变化无显著性差异,但训练组较对照组患者在术后发生呼吸困难程度低。结论术前适应性训练能提高患者手术适应性,改善患者遵医行为;降低手术并发症发生率,密切护患关系,提高患者满意度。

Objective In front of the goal discussion technique the adaptability training nurses in the neck road ahead surgery patient the application effect. Method Gets sick the good cervical vertebra road ahead neurocanal reduced pressure union 42 example cervical vertebra to plant the patient who the bone fuses to divide into stochastically the training combination control group, each 41 examples.The control group uses in front of the conventional technique to prepare, has not carried on in front of the technique the adaptability training, the training set uses the oral explanation movement demonstration by the responsibility nurse to carry on the full training. Result the control group compare the observation group technique the complication formation rate obviously to reduce （P〈 0.05）; Obeys the medical behavior improvement to be more remarkable （P〈 0.01）; In hospital patient degree of satisfaction remarkable enhancement （P〈 0,01）; In after the technique the technique the SpO2 monitor value changes the non-significance difference in during two groups, but the training set compares the control group patients to have the breath difficult degree after the technique to be low. Conclusion The adaptability training can enhance the patient surgery compatibility, improves the patient to obey the medical behavior; Reduces the surgery complication formation rate, protects the trouble relations closely, enhances the patient degree of satisfaction.