基于人文关怀的循证护理联合针刀取穴法针刺治疗颈型颈椎病的效果研究

Clinical Effect of Evidence-based Nursing Based on Humanistic Care Combined with Acupotomy Acupoint Selection inTreatment of Cervical Spondylosis

目的研究探讨基于人文关怀的循证护理联合针刀取穴法针刺治疗颈型颈椎病的临床效果。方法纳入2018年4月-2020年4月医院收治的95例颈型颈椎病患者,随机分为观察组48例和对照组47例。对照组给予针刀取穴法针刺治疗,观察组在对照组基础上增加基于人文关怀的循证护理干预。对两组疼痛程度、颈椎关节活动功能、生活质量、护理满意度等进行统计比较。结果观察组在干预后第1周、第2周、第4周、第8周的视觉模拟评分(VAS)均低于对照组(P<0.05)。干预后观察组颈椎关节活动度(CROM)高于对照组,颈部残障指数(NDI)则低于对照组(P<0.05)。干预后观察组的生活质量各项评分均高于对照组(P<0.05)。观察组护理满意为91.67%(44/48),高于对照组患者为74.47%(35/47)(P<0.05)。结论基于人文关怀的循证护理联合针刀取穴法针刺治疗颈型颈椎病的临床疗效显著,能够降低患者的疼痛感,改善颈椎活动功能,提高生活质量和护理满意度。

Objective To study the clinical effect of evidence-based nursing based on humanistic care combined with acupotomy acupoint selection in the treatment of cervical spondylosis.Methods A total of 95 patients with cervical spondylosis treated in our hospital from April 2018 to April 2020 were randomly divided into observation group(n=48) and control group(n=47). The patients in the control group were treated with Acupotomy acupoint selection, while the observation group was given evidence-based nursing intervention based on humanistic care on the basis of the control group. The pain degree, cervical joint activity function, quality of life, nursing satisfaction of the two groups were statistically compared.Results The visual analogue scale(VAS) of the observation group was lower than that of the control group at the 1 st, 2 nd, 4 th and 8 th week after the intervention(P<0.05). After the intervention, the ROM of cervical joint(CROM) in the observation group was higher than that in the control group, while the neck disability index(NDI) in the observation group was lower than that in the control group(P<0.05). After the intervention, the scores of quality of life in the observation group were higher than those in the control group(P<0.05). The nursing satisfaction of the observation group was 91.67%(44/48), which was higher than that of the control group 74.47%(35/47)(P<0.05).Conclusion The clinical effect of evidence-based nursing based on humanistic care combined with acupotomy acupoint selection method in the treatment of cervical spondylosis is significant, which can reduce the pain of patients, improve the cervical activity function of patients, and improve the quality of life and nursing satisfaction of patients. It has high clinical application value and can be further promoted and applied.