快速康复外科护理对腰间盘突出症患者术后并发症、肢体功能及自我效应感的影响

Influence of rapid rehabilitation surgery nursing on postoperative complications, physical function and self-efficacy of patients with lumbar disc herniation

目的探讨快速康复外科护理对腰间盘突出症患者术后并发症、肢体功能及自我效应感的影响。方法选取自2014年1月~2015年12月潍坊市第二人民医院收治的98例腰间盘突出症手术患者,采取随机数字表法分为对照组与观察组,每组各49例。对照组给予常规护理,观察组在对照组基础上加用快速康复外科护理,比较两组围术期指标、术后并发症、肢体功能改善情况、生活质量及自我效能变化情况。结果观察组首次肛门排气时间、进食时间、术后下地行走时间、术后住院时间明显短于对照组,差异有统计学意义(P<0.05)。观察组切口感染、肺部感染、尿路感染、下肢深静脉血栓形成发生率明显低于对照组,差异有统计学意义(P<0.05)。两组护理3个月后JOA评分、生活质量、自我效能感评分高于护理前,观察组护理3个月后JOA评分、生活质量评分及自我效能感评分明显高于对照组,差异有统计学意义(P<0.05)。结论快速康复外科护理应用腰间盘突出症手术患者中能够降低术后并发症发生率,促进改善肢体功能,提高生活质量。

Objective To discuss the influence of rapid rehabilitation surgery nursing on postoperative complications,physical function and self-efficacy of patients with lumbar disc herniation.Methods From January 2014 to December 2015,in Weifang NO.2 People＇s Hospital,98 patients with waist dish outstanding surgery were selected,according to random number table method,they were divided into control group and observation group,with 49 cases in each group,the control group was given routine nursing care,the observation group was given rapid rehabilitation surgery nursing on the bassis of control group,the perioperative indexes,postoperative complications and limb function improvement and life quality in two groups were compared.Results The anus exhausting time,eating time,postoperative walking time,postoperative hospitalization time in the observation group were less than those in the control group,the differences were statistically significant （P 〈 0.05）.The incidences of incisional infection,pulmonary infection,urinary tract infection and lower extremity deep venous thrombosis were less than those in the control group,the differences were statistically significant （P 〈 0.05）.After nursing 3 mooths,JOA score,quality of life scores and self-efficacy scores in two groups were higher than before nursing,and these in the observation group were higher than those in the control group,the differences were statistically significant （P 〈 0.05）.Conclusion Rapid rehabilitation surgery nursing using in lumbar disc herniation can reduce the incidence of postoperative complications,promote the improvement of limb function and improve the quality of life.