基于知信行理论下跟踪延伸护理对腰椎间盘突出症术后康复及并发症发生率的影响

Effect of follow-up Extended Nursing on postoperativeRehabilitation and Complication rate of Lumbar Discherniationbased on Theory of Knowledge, Belief, and Practice

目的 研究基于知信行理论下跟踪延伸护理对腰椎间盘突出症(LDH)患者术后康复及并发症发生率的影响。方法 选取郑州大学第一附属医院2019年6月至2021年6月收治的85例LDH患者,采用随机数字表分为对照组(42例)、研究组(43例),对照组予以常规延伸护理服务,研究组在此基础上予以基于知信行理论下跟踪延伸护理服务。比较两组遵医行为、疼痛程度[视觉模拟评分法(VAS)]、腰椎功能[Oswestry功能障碍指数问卷表(ODI)、日本骨科协会评估治疗(JOA)评分]及并发症发生率。结果 研究组遵医行为优良率(97.67%)高于对照组(80.95%),差异有统计学意义(P <0.05)。干预4周后、干预8周后,研究组VAS、ODI评分低于对照组,JOA评分高于对照组,差异有统计学意义(P <0.05)。研究组并发症发生率(4.65%)低于对照组(21.43%),差异有统计学意义(P <0.05)。结论 基于知信行理念下跟踪延伸护理能提高遵医行为,降低LDH患者术后疼痛感,降低并发症发生风险,有利于腰椎功能恢复。

Objective To study the impact of tracking extended care based on theory of knowledge,belief,and practice on postoperative rehabilitation and incidence of complications of Lumbar disc herniation(LDH)patients.Methods A total of 85 LDH patients admitted to the First Affiliated Hospital of Zhengzhou University from June 2019 to June 2021 were selected and divided into control group(42 cases)and study group(43 cases)by random number table.The control group was provided with routine extended care service,and the study group was followed up with extended care service based on the theory of knowledge belief and practice.Compare the behavior of two groups compliance behavior,pain degree[Visual analogue scale(VAS)],lumbar function[Oswestry Dysfunction Index Questionnaire(ODI),Japanese Orthopedic Association Assessment and Treatment(JOA)score],and complication rate.Results The good and good rate of compliance behavior in the study group(97.67%)was higher than that in the control group(80.95%)and the difference was statistically significant(P<0.05).After 4 weeks and 8 weeks of intervention,VAS and ODI scores of the study group were lower than those of the control group,and JOA scores were higher than those of the control group,with statistically significant differences(P<0.05).The complication rate of the study group(4.65%)was lower than that of the control group(21.43%),and the difference was statistically significant(P<0.05).Conclusion Based on the concept of knowledge,belief and practice,follow-up extended care can improve compliance behavior,reduce postoperative pain in LDH patients,reduce the risk of complications,and contribute to the recovery of lumbar function.