出院关键任务计划在腰椎椎间融合手术患者中的应用

Application of discharge key task plan in patients undergoing lumbar intervertebral fusion surgery

目的探讨出院关键任务计划在腰椎椎间融合手术患者中的应用效果。方法通过方便抽样的方法选择2018年6月—2019年6月在广东省中医院珠海医院行腰椎椎间融合手术治疗的125例患者,采用随机数字表法分为观察组和对照组。观察组采用出院关键任务计划模式进行干预,对照组采用常规护理。收集并比较两组患者的出院准备度、治疗行为的依从性和Oswestry功能障碍指数。结果最终完成研究123例,观察组62例,对照组61例。观察组的出院准备度各维度得分和总分均高于对照组(P<0.05)。观察组出院前24 h及出院后3、6个月的治疗行为依从性得分高于对照组(P<0.05);重复测量方差分析结果显示,两组的依从性得分在干预时间、组间以及交互效应方面差异均有统计学意义(P<0.01)。观察组出院后3、6个月的Oswestry功能障碍指数低于对照组(P<0.05);重复测量方差分析结果显示,两组的Oswestry功能障碍指数在干预时间、组间以及交互效应方面差异均有统计学意义(P<0.01)。结论应用出院关键任务计划有利于改善腰椎椎间融合手术患者的出院准备度,提高治疗行为依从性,降低腰椎功能障碍程度。

Objective To explore the effects of discharge key task plan in patients undergoing lumbar intervertebral fusion surgery.Methods Totally 125 patients who underwent lumbar intervertebral fusion surgery in Zhuhai Hospital of Traditional Chinese Medicine from June 2018 to June 2019 were selected by convenient sampling and divided into an observation group and a control group according to the random number table.Patients in the observation group received interventions with the discharge key task plan,while patients in the control group received routine care.The discharge readiness,compliance of treatment behavior,and Oswestry Disability Index were collected and compared between the two groups of patients.Results Finally,123 patients completed the study,with 62 in the observation group and 61 in the control group.The total scores and scores of all dimensions of readiness to discharge in the observation group were higher than those in the control group(P<0.05).The compliance with treatment behavior in the observation group 24 hours before discharge and 3,6 months after discharge were higher than those in the control group(P<0.05);and the repeated measures analysis of variance showed that the compliance scores of the two groups shoed statistically significant difference in the intervention time,between the groups,and in interaction effects(P<0.01).The Oswestry Disability Index in the observation group was lower than that in the control group 3 and 6 months after discharge from the hospital(P<0.05);and the repeated measures analysis of variance showed that the Oswestry Disability Index of the two groups showed statistically significant difference in terms of intervention time, inter-group, and interaction effects (P < 0.01). Conclusions The discharge key taskplan helps to improve the discharge readiness and compliance with treatment behavior, and reduce the lumbarintervertebral dysfunction in patients undergoing lumbar intervertebral fusion surgery.