脊髓神经运动功能评估图卡的设计及在脊髓损伤患者中的应用

Production and application of assessment card for spinal nerve motor function

目的探讨自制的脊髓神经运动功能评估图卡在临床护理工作中的应用效果。方法采用美国脊髓损伤协会制定的脊髓损伤神经分级标准,设计并制作了脊髓神经运动功能评估图卡。选取我院骨科病区的40名护士为研究对象,采用分层抽样法,将其随机分为实验组(20名)和对照组(20名),对两组护士进行脊髓神经运动功能理论及操作培训。选取2016年6月—9月在我院骨科病区住院手术治疗的398例脊柱脊髓疾病患者为评估对象。实验组采用自制的脊髓神经运动功能评估图卡进行评估;对照组实行常规的脊髓神经运动功能评估。结果两组理论与操作考核成绩相比,差异无统计学意义(P>0.05);与对照组相比,实验组评估错评率降低了9.5%,漏评率降低了16.2%;评估耗时显著短于对照组(P<0.05)。结论脊髓神经运动功能评估图卡可降低评估误差率,节省评估用时,提高护士专科护理能力和工作效率。

Objective To explore the effects of application of self-made assessment card for spinal nerve motor function in clinical nursing. Methods An assessment card for spinal nerve motor function was designed and pro- duced according to ＂spinal cord injury grading standards＂ by American Spinal Injury Association（ASIA）. A total of 40 nurses working in orthopedic ward of our hospital were selected as study subjects,and divided into the experi- mental group and the control group with 20 nurses in each group. Theoretical and practical training regarding spinal nerve motor function was provided to nurses in both groups. Then totally 398 patients with spine or spinal cord diseases hospitalized in our orthopedic ward were recruited from June to September 2016 as subjects for as- sessment. The experimental group used self-made assessment card for spinal nerve motor function as guidance;the control group performed routine assessment for spinal nerve motor function. Results There were no significant dif- ferences between the experimental group and the control group in scores of theoretical and practical examinations （P〉0.05）;compared with the control group,the error of assessment in the experimental group was reduced by 9.5%,missed assessment rate decreased by 16.2%; and the time for assessment in the experimental group was signif- icantly shorter than that in the control group（P〈0.05）. Conclusion The assessment card for spinal nerve motor func- tion can reduce the error of assessment,save the time for assessment,enhance the capacity of specialist nurses and improve work efficiency.