阶梯式康复护理对腰椎间盘突出患者的康复作用研究

Effect of Stepwise Rehabilitation Nursing Intervention on Rehabilitation of Patients with Lumbar Disc Herniation

目的:分析阶梯式康复护理在腰椎间盘突出患者中的应用效果。方法:选取2018年8月-2021年8月在随州市曾都医院接受治疗的380例腰椎间盘突出症患者,采用随机数字表法分为研究组和对照组,各190例。对照组接受常规干预,研究组采用阶梯式康复护理,比较两组患者日本骨科协会评估治疗(JOA)评分、改良Oswestry功能障碍指数(ODI)评分、疼痛评分量表(VAS)评分、临床疗效和护理满意度。结果:研究组治疗后JOA评分、ODI评分明显优于对照组,差异有统计学意义(P<0.05)。研究组治疗2周和治疗4周后的VAS评分显著低于对照组,差异有统计学意义(P<0.05)。研究组治疗后有效率、满意度均高于对照组,差异均有统计学意义(P<0.05)。结论:阶梯式康复护理的应用,能够显著缓解患者疼痛,改善患者腰椎功能,加速患者康复,临床满意度高,可推广应用。

Objective:To analyze the effect of stepwise rehabilitation nursing in patients with lumbar disc herniation.Method:A total of 380 patients with lumbar disc herniation who received treatment in Zeng Du Hospital from August 2018 to August 2021 were randomly divided into study and control groups of equal number of cases(n=190).The control group received conventional interventions,and the study group received stepwise rehabilitation nursing.The Japanese Orthopaedic Association(JOA)score,modified Oswestry disability index(ODI)score,visual analogue scale(VAS)score,clinical efficacy and nursing satisfaction were compared between the two groups.Results:After treatment,the JOA score and ODI score of the study group were significantly better than those of the control group,with statistically significant difference(P<0.05).The VAS score of the study group after 2 and 4 weeks of treatment was significantly lower than that of the control group,with statistically significant difference(P<0.05).After treatment,the effective rate and the satisfaction rate of the study group were higher than those of the control group,with statistically significant difference(P<0.05).Conclusion:The application of stepwise rehabilitation nursing can significantly relieve the pain of patients,improve the function of the patient's lumbar spine,accelerate the recovery of patients,and have high clinical satisfaction,which can be popularized and applied.