基于循证理论的康复管理对脊柱外科手术患者功能恢复、睡眠质量及并发症的影响

Effects of Evidence-based Rehabilitation Management on Functional Recovery,Sleep Quality and Complications in Patients Undergoing Spinal Surgery

目的:探究基于循证理论的康复管理对脊柱外科手术患者功能恢复、睡眠质量及并发症的影响。方法:选取2020年6月至2021年3月遵义医科大学第五附属(珠海)医院收治的脊柱外科手术患者66例作为研究对象,按照随机数字表法分为对照组和观察组,每组33例。对照组采用常规管理,观察组采用基于循证理论的康复管理,比较2组指标差异性。结果:观察组管理1个月、2个月、4个月后功能恢复评分均高于对照组,差异有统计学意义(P<0.05);管理后观察组汉密尔顿焦虑量表(HAMA)评分、抑郁量表(HAMD)评分、睡眠质量评分均低于对照组,差异有统计学意义(P<0.05),而生命质量评分显著高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率9.09%低于对照组并发症发生率21.21%,差异有统计学意义(P<0.05)。结论:脊柱外科手术患者术后实施基于循证理论的康复管理,可促功能恢复,加快康复,缓解患者不良情绪,改善其生命质量与睡眠质量,规避并发症。

Objective:To explore the effects of evidence-based rehabilitation management on functional recovery,sleep quality and complications in patients undergoing spinal surgery.Methods:A total of 66 patients with spinal surgery treated in the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University from June 2020 to March 2021 were selected as the research objects.They were randomly divided into control group and observation group,with 33 cases in each group.Routine management was used in the control group and rehabilitation management based on evidence-based theory was used in the observation group.The differences of indexes between the two groups were compared.Results:The functional recovery scores of the observation group after 1 month,2 months and 4 months of management were significantly higher than those of the control group(P<0.05).After management,the scores of Hamilton Anxiety Scale(HAMA),depression scale(HAMD)and sleep quality in the observation group were significantly lower than those in the control group(P<0.05),while the scores of quality of life were significantly higher than those in the control group(P<0.05).The incidence of complications in the observation group was 9.09%,which was lower than that in the control group(21.21%).The difference was statistically significant(P<0.05).Conclusion:Rehabilitation management based on evidence-based theory after spinal surgery can promote functional recovery,accelerate recovery,relieve patients′bad mood,improve the quality of life and sleep,and avoid complications.