全程无缝SPORT医疗照护模式在特发性脊柱侧凸病人中的临床应用

Clinical application of whole course seamless SPORT medical care mode in idiopathic scoliosis patients

目的探讨全程无缝SPORT医疗照护模式在特发性脊柱侧凸病人中的临床应用效果。方法回顾性分析2017至2018年在我院骨科接受手术收治的160例特发性脊柱侧凸病人的临床资料。将2017年1月至12月主动来院就诊接受常规脊柱侧凸诊疗与随访,行常规护理及康复训练的74例病人纳入对照组;2018年1月至12月接受义诊筛查及早期知识宣教,采用基于全人全程护理理念与多学科协作诊疗设计的SPORT模式诊治的86例病人纳入观察组。对照组,男7例,女67例;年龄为(14.03±7.88)岁(10~25岁)。观察组,男13例,女73例;年龄为(13.78±6.95)岁(8~25岁)。观察比较两组病人的手术效果、术后并发症、住院天数以及健康相关生活质量评分。结果两组病人冠状面主弯Cobb角、矢状面Cobb角矫正度比较,差异均无统计学意义(P均>0.05);观察组病人肺部感染、切口感染、神经损伤的发生率较对照组明显降低(P均<0.05);住院天数明显缩短(t=11.160,P<0.001);健康相关生活质量评分也得到明显改善(P<0.05)。结论SPORT模式在特发性脊柱侧凸病人中应用,可明显减少术后并发症、缩短住院天数,并提高病人的健康相关生活质量,值得进一步探讨与推广。

Objective To explore the clinical application of seamless SPORT medical care mode in idiopathic scoliosis.Methods The clinical data of 160 idiopathic scoliosis patients who underwent surgery in our hospital from 2017 to 2018 were retrospectively analyzed.Totally,74 patients who came to our hospital from January to December 2017 for routine treatment and follow⁃up of scoliosis and received routine nursing and rehabilitation training were included in the control group.From January to December 2018,86 patients were enrolled in the observation group,who received free medical screening and early knowledge education,and were treated with SPORT mode based on the whole person nursing concept and multidisciplinary collaborative diagnosis and treatment design.In the control group,there were 7 males and 67 females,and the age was(14.03±7.88)years old(10⁃25 years old).In the observation group,there were 13 males and 73 females,and the age was(13.78±6.95)years old(8⁃25 years old).The operation effect,postoperative complications,hospitalization days and health⁃related quality of life scores in the two groups were observed and compared.Results There was no significant difference in the correction of Cobb angle of coronal plane and the Cobb angle of sagittal plane between two groups.The incidence of pulmonary infection,incision infection and nerve injury was significantly lower(P<0.05),the hospitalization days were significantly shorter(t=11.160,P<0.001),and health⁃related quality of life score was also significantly higher(P<0.05)in observation group than those in the control group.Conclusion The application of SPORT mode in idiopathic scoliosis patients can significantly reduce the postoperative complications,shorten the length of hospitalization days,and improve the health⁃related quality of life of patients,which is worthy of further discussion and promotion.