目标性干预护理对腰椎椎间融合术患者Oswestry功能障碍指数的影响

Effects of Objective Nursing Intervention on Oswestry Disability Index in Lumbar Degenerative Disease Patients Undergoing Lumbar Interbody Fusion Surgery

目的研究目标性干预护理对腰椎椎间融合术患者Oswestry功能障碍指数的影响,探讨促进术后患者功能康复的有效途径。方法采用方便取样的方法选取某医院腰椎椎间融合术患者72例,按入院先后顺序分为对照组40例和干预组32例。对照组给予骨科常规护理和门诊随访,干预组给予目标性干预护理和门诊随访。比较两组患者干预前、出院后1个月、出院后3个月的Oswestry功能障碍指数(Oswestry disability index,ODI)评分。结果术后1个月和3个月时,干预组的ODI总评分低于对照组;术后1个月,干预组疼痛及走路维度ODI评分低于对照组;术后3个月,干预组疼痛、走路、站立、社会能力、旅行维度ODI得分低于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论目标性干预护理能有效促进腰椎椎间融合术患者术后腰椎功能的康复,建议在临床推广应用。

Objective To evaluate the effects of objective nursing intervention on the Oswestry disability index（ODI） in lumbar degenerative disease（LDD） patients undergoing lumbar interbody fusion surgery so as to explore an effective way to promote functional recovery in postoperative patients.Methods Using convenient sampling method,72 LDD patients underwent operation of lumbar interbody fusion were divided into intervention group（n=32） and control group（n=40） according to the admission sequence.Patients in the control group received routine nursing and outpatient follow-up.The patients in the intervention group received objective rehabilitation nursing intervention and outpatient follow-up.Both groups were assessed on the ODI scores before the intervention,at 1 month and 3 months after operation.Results The total score of ODI was significant higher in the intervention group than in the control group at 1 month and 3 months after operation;the pain and walk dimensions scores of ODI were significantly lower in the intervention group than in the control group at 1 month after surgery;the ODI scores of pain,walking,standing,social skills and travel were singnificantly lower in the intervention group than in the control group（P0.05 or P0.01）.Conclusion The objective nursing intervention is an effective approach in improving the postoperative lumbar function of LDD patients undergoing lumbar interbody fusion surgery,thus deserves clinical popularization.