综合护理干预在针灸推拿结合理疗康复治疗颈椎病患者护理中的效果探讨

The Effect of Comprehensive Nursing Intervention in the Nursing of Patients with Cervical Spondylopathy Treated with Acupuncture,Moxibustion,Massage and Physical Therapy

目的探讨对颈椎病患者在针灸推拿结合理疗康复的基础上行综合护理干预的效果及对减轻患者疼痛以及改善颈椎功能的作用。方法随机选择该院2019年7月—2020年6月诊治颈椎病患者90例为研究对象,均常规开展针灸推拿结合康复理疗治疗。按照随机数表法将其分为对照组与观察组各45例。对照组采用常规护理。观察组则从心理护理、运动护理、按摩护理、饮食护理、健康指导5个方面开展综合护理干预。两组患者均随访6月,比较护理效果、干预前后疼痛情况与颈椎功能。其中疼痛情况采用视觉模拟法(VAS)评价,颈椎功能采用颈椎功能障碍指数量表(NDI)评价。结果观察组护理总有效率为91.11%(41/45),高于对照组73.33%(33/45),差异有统计学意义(χ^(2)=4.865,P=0.027)。护理前两组VAS评分、NDI评分比较差异无统计学意义(P>0.05)。随访6个月时,观察组护理后VAS评分与NDI评分分别为(1.72±0.55)分、(10.65±2.74)分,均明显低于对照组(2.60±0.64)分、(15.82±3.15)分,差异有统计学意义(t=6.996、8.307,P<0.05)。结论对颈椎病患者在针灸推拿结合理疗康复治疗的基础上采用综合护理干预能够有效提高护理效果,可明显减轻患者疼痛,有利于改善颈椎功能,对促进患者康复有显著价值。

Objective To explore the effect of comprehensive nursing intervention on patients with cervical spondylosis on the basis of acupuncture and massage combined with physical therapy rehabilitation and the effect on reducing the pain and improving the function of the cervical spine.Methods Ninety patients with cervical spondylosis diagnosed and treated in the hospital from July 2019 to June 2020 were random selected as the research objects,and acupuncture and massage combined with rehabilitation physiotherapy were carried out routinely.According to the random number table method,they were divided into the control group and the observation group with 45 cases each.The control group received routine care.The observation group carried out comprehensive nursing intervention from five aspects:psychological nursing,sports nursing,massage nursing,diet nursing,and health guidance.Both groups of patients were followed up for 6 months to compare the nursing effect,pain and cervical spine function before and after intervention.The pain was evaluated by the visual simulation method(VAS),and the cervical spine function was evaluated by the cervical spine dysfunction index(NDI).Results The total effective rate of nursing care in the observation group was 91.11%(41/45),which was higher than 73.33%(33/45)in the control group,the difference was statistically significant(χ^(2)=4.865,P=0.027).There was no statistically significant difference in VAS score and NDI score between the two groups before nursing(P>0.05).After 6 months of follow-up,the VAS score and NDI score of the observation group after nursing were(1.72±0.55)points and(10.65±2.74)points respectively,which were significantly lower than those of the control group(2.60±0.64)points and(15.82±3.15)points,the difference was statistically significant(t=6.996,8.307,P<0.05).Conclusion For patients with cervical spondylosis,comprehensive nursing intervention based on acupuncture and massage combined with physical therapy rehabilitation can effectively improve the nursing effect,significantly reduce the patient’s pain,improve the cervical spine function,and has significant value in promoting the rehabilitation of the patient.It is worthy of clinical promotion application.