骨折联络服务模式康复护理干预策略在退变性脊柱侧弯术后患者中的应用

Application of FLS Mode Rehabilitation Nursing Intervention Strategy in Postoperative Patients with Degenerative Scoliosis

目的:探讨骨折联络服务(FLS)模式康复护理干预策略在退变性脊柱侧弯(DS)术后患者中的应用方法及效果。方法:将2018年6月1日~2020年8月31日89例DS患者根据建档顺序分为对照组44例和观察组45例,对照组采取常规康复干预,观察组采取FLS模式康复护理干预策略,比较两组护理效果。结果:观察组遵医率高于对照组(P<0.05);观察组术后4周创伤后应激障碍量表-平民版(PCL-C)、Oswestry功能障碍指数(ODI)、视觉模拟评分法(VAS)评分低于对照组(P<0.01);两组术后4周创伤后成长评定量表(PTGI)、一般自我效能感量表(GESE)评分高于对照组(P<0.05,P<0.01)。结论:FLS模式康复护理干预策略可减轻DS术后患者创伤后应激障碍,提高创伤后成长水平及自我效能感,建立遵医行为,改善腰椎功能。

Objective:To explore the application method and effect of fracture liaison service(FLS)mode rehabilitation nursing intervention strategy in postoperative patients with degenerative scoliosis(DS).Methods:A total of 89 patients with DS admitted during June 1,2018 to August 31,2020 according to the file order were divided into the control group with 44 case and the observation group with 45 cases,the control group adopted routine rehabilitation intervention,and the observation group adopted FLS mode rehabilitation nursing intervention strategy,comparison was made between the two groups on nursing effect.Results:The medical compliance rate in the observation group was higher than that in the control group(P<0.05).The post-traumatic stress disorder scale-civilian version(PCLS-C),oswestry disability index(ODI),visual analogue scale(VAS)scores in the observation group after 4 weeks of operation were lower than those in the control group(P<0.01).The posttraumatic growth rating scale(PTGI),general self-efficacy scale(GESE)scores In the two groups after 4 weeks of operation were higher than those in the control group(P<0.05,P<0.01).Conclusion:FLS mode rehabilitation nursing intervention strategy can reduce the post-traumatic stress disorder in DS postoperative patients,improve the level of post-traumatic growth and self-efficacy,and set up the medical compliance behavior,and improve the lumbar function.