综合护理干预在椎间孔镜治疗腰椎间盘突出症患者中的效果分析

Analysis on the effect of comprehensive nursing intervention on the patients with herniated disc following endoscopic foraminotomy

目的:探讨综合护理干预在椎间孔镜治疗腰椎间盘突出症(LDH)患者中的应用效果。方法:选取2018年1月~2020年5月在皖南医学院第二附属医院接受椎间孔镜治疗LDH的患者59例,采用随机数字表法随机分为观察组和对照组,对照组采取常规护理干预,观察组采取综合护理干预,比较两组患者入院时、术后3 d、术后7 d、术后1个月视觉模拟评分法(VAS)评分及住院时间,术后1个月改良Macnab疗效评定及护理满意度。结果:观察组术后3 d、7 d、1个月VAS评分均低于对照组(P<0.05);观察组住院时间[(8.43±2.41)d]短于对照组[(11.93±5.83)d(P<0.05)];观察组术后1个月改良Macnab疗效优良率(90.00%)、护理满意度(96.67%)均高于对照组(65.52%、72.41%)(P<0.05)。结论:综合护理干预在椎间孔镜治疗LDH患者中应用效果良好,能提升手术疗效,减轻患者腰腿疼痛,改善患者住院期间的护理体验,提高护理满意度。

Objective:To observe the outcomes of comprehensive nursing intervention in patients with herniated disc after endoscopic foraminotomy.Methods:Fifty-nine patients of herniated disc undergone endoscopic foraminotomy in our hospital were included from January 2018 to May 2020,and allocated to observational group and control group by random digital table.Patients in the observational group received comprehensive nursing intervention,and those in control group were simply provided with conventional nursing care.The two groups were compared regarding the visual analogue scale(VAS)scores upon admission,and three days,seven days and one month after surgery,respectively as well as days of hospital stay,curative effects by modified Macnab criteria and patients′satisfaction with the care.Results:The VAS scores at day 3,7 and at one month after surgery were lower in observational group than in control group(all P<0.05).Patients in the observational group had shorter days of hospital stay than those of the control group[(8.43±2.41)d vs.(11.93±5.83)d,both P<0.05],and the excellent rate at one month following surgery and satisfaction rate were higher in observational group than in control group(90.00%vs.65.52%;96.67%vs.72.41%,respectively,both P<0.05).Conclusion:Comprehensive nursing intervention can be better outcomes for patients of herniated disc after endoscopic foraminotomy.This nursing program may boost the surgical effect,reduce pain in waist and legs,improve the patient′s experience with nursing care during hospitalization,and make better satisfaction with the care.