医护一体化模式对脊柱手术患者术后腹胀及护理满意度的影响

Effect of Integrated Nursing Model on Abdominal Distension and Nursing Satisfaction of Patients undergoing Spinal Surgery

目的 探讨医护一体化模式对脊柱手术患者术后腹胀及护理满意度的影响。方法 选取2021年11月至2022年12月于新余钢铁集团有限公司中心医院接受治疗的180例行脊柱手术患者作为研究对象,根据随机数字表法分为对照组与观察组,各90例。对照组予以常规护理干预,观察组采取医护一体化模式干预。比较两组临床指标、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、日本骨科学会(JOA)评分以及护理满意度。结果 护理后,观察组住院时间短于对照组,下肢静脉血栓、肺栓塞以及术后腹胀发生率均低于对照组,差异有统计学意义(P<0.05);护理前,两组SAS、SDS评分比较差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分均低于对照组(P<0.05);护理后,观察组JOA评分高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论 医护一体化模式有利于改善脊柱手术患者术后临床指标以及不良情绪,降低术后腹胀发生率,提高护理满意度,促进脊柱功能恢复。

Objective To explore the effect of integrated nursing model on abdominal distension and nursing satisfaction of patients undergoing spinal surgery.Methods A total of 180 spinal surgery patients treated in the Central Hospital of Xinyu Iron and Steel Group Co.,Ltd.from November 2021 to December 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 90 cases in each group.The control group was given routine nursing intervention,and the observation group was given integrated nursing intervention.Clinical indicators,self-rating Depression Scale(SDS) score,self-rating Anxiety Scale(SAS) score,Japanese Orthopaedic Society(JOA) score and nursing satisfaction were compared between the two groups.Results After nursing,the hospitalization time of observation group was shorter than that of control group,and the incidence of lower limb venous thrombosis,pulmonary embolism and postoperative abdominal distension were lower than those of control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).After nursing,the SAS and SDS scores of the observation group were lower than those of the control group(P<0.05).After nursing,the JOA score of observation group was higher than that of control group(P<0.05);Nursing satisfaction of observation group was higher than that of control group(P<0.05).Conclusion The integrated medical care model is beneficial to improve the postoperative clinical indicators and bad emotions of patients with spinal surgery,reduce the incidence of postoperative abdominal distension,improve nursing satisfaction,and promote the recovery of spinal function.