连续护理模式对腰椎间盘突出症患者的遵医行为及康复效果的影响

目的：探讨连续护理模式腰椎间盘突出症（LIDP）患者遵医行为及康复效果的影响.方法：选取我科于2015年1月至2015年12月期间收治的100例LIDP患者作为本组研究的研究样本,采用便利抽样法将其分为对照组与观察组各50例,对照组给予常规护理,观察组在常规护理的基础上开展连续护理模式,对比两组患者的遵医行为与康复效果.结果：（1）观察组中,遵嘱用药47例（94%）,健康生活方式44例（88%）,腰腿部锻炼45例（90%）,避免诱发因素44例（88%）,均明显高于对照组,具有统计学意义,P〈0.05.（2）治疗前,两组的JOA评分之间无明显差异,不具有统计学意义（P〉0.05）;治疗后,观察组的JOA评分为（24.85±3.29）分,对照组的JOA评分为（20.17±3.72）分,观察组明显高于对照组,具有统计学意义,P〈0.05.结论：通过在LIDP患者护理中开展连续护理模式,可以明显提高患者的遵医行为,改善康复效果,提高护理质量.

Objective： To investigate the effect of continuous nursing model of lumbar disc herniation （LIDP） affect the patients compliance and rehabilitation effect. Methods： 100 LIDP patients were selected from Department of orthopedics in our department during the period from Januar y 2015 to December 2015 as the research sample of this study, using convenience sampling method will be divided into control group and the observation group with 50 cases in each group, the control group was given conventional nursing, the observation group on the basis of routine nursing to carry out continuous nursing mode, compliance and rehabilitation effect of the two groups were compared. Results： （1） in the observation group, 47 cases of medication compliance （94%）, 44 cases of healthy lifestyle （88%） exercise, leg ministry in 45 cases （90%）, avoid induced factors in 44 cases （88%）, were significantly higher than the control group, with statistical significance, P 〈 0.05. （2） before treatment, no significant difference between the two groups of JOA score was not statistically significant （P 〉 0.05）; after treatment, the observation group the JOA score was 24 （ 85 ＋ 3.29）, control group, JOA score for （20.17 ＋ 372）, the observation group was significantly higher than that of the control group, with statistical significance, P 〈 0.05. Conclusion： through continuum of care model in the nursing care of patients with LIDP, can significantly improve the compliance behavior of patients, improve the rehabilitation effect, improve the quality of nursing.