医护康患一体化康复护理对腰椎滑脱植骨融合钉棒内固定术后患者的影响

Effect of Integrated Rehabilitation Nursing of Doctors,Nurses,Rehabilitators,Patients After Lumbar Spondylolisthesis Implantation and Fusion of Nailed Rods for Internal Fixation

目的探究医护康患一体化护理在植骨融合钉棒内固定术后腰椎滑脱患者护理中的应用效果。方法选取2020年4月至2022年4月河南省中医院(河南中医药大学第二附属医院)收治的86例腰椎滑脱患者,均拟接受植骨融合钉棒内固定术治疗,按照随机数字表法分为对照组(常规护理)和观察组(医护康患一体化护理),各43例。对照组接受围手术期常规护理,观察组在对照组的基础上接受医护康患一体化护理。对比两组康复进程、满意度、并发症发生情况、视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、焦虑自评量表(SAS)及Barthel指数(BI)评分。结果干预后,观察组首次下床、首次排便、首次排气、住院等时间较对照组短(P<0.05);术后3、7 d,观察组VAS评分较对照组低(P<0.05);观察组并发症总发生率低于对照组(P<0.05);观察组SAS、ODI评分较对照组低,BI评分较对照组高(P<0.05);观察组满意度高于对照组(P<0.05)。结论医护康患一体化护理可降低腰椎滑脱患者植骨融合钉棒内固定术后疼痛感,减少并发症发生,缓解患者不良情绪,提高生活能力,促进病情好转,提高满意度。

Objective To investigate the effect of integrated medical care and recreational care in the care of patients with lumbar spondylolisthesis after implant fusion nail-rod internal fixation.Methods A total of 86 patients with lumbar spondylolisthesis admitted to Henan Hospital of Traditional Chinese Medicine(the Second Affiliated Hospital of Henan University of Traditional Chinese Medicine)from April 2020 to April 2022 were selected and they were divided into control group(routine nursing)and observation group(integrated rehabilitation nursing of doctors,nurses,rehabilitators,patients)by random number table method,with 43 cases in each group.The control group received routine perioperative care,while the observation group received integrated medical,nursing,and patient care on the basis of the control group.The recovery process,satisfaction,complication,visual analogue scale(VAS),Oswestry disability index(ODI)anxiety self-assessment scale(SAS)and Barthel index(BI)scores were compared between the two groups.Results The time of first getting out of bed,first defecation,first exhaust and hospitalization in observation group were shorter than those in control group(P<0.05).After 3 days and 7 days of operation,the VAS score was lower in observation group than those in control group(P<0.05).The total complication rate in observation group was lower than that in control group(P<0.05).After the intervention,the BI score in observation group was higher than than in control group,SAS score was lower than that in control group(P<0.05);satisfaction rate in the observation group was higher than that in the control group(P<0.05).Conclusion Integrated rehabilitation nursing of integrated rehabilitation nursing of doctors,nurses,rehabilitators,patients can reduce pain after implant fusion nail rod internal fixation in patients with lumbar spondylolisthesis,reduce the occurrence of complications,alleviate patients’bad moods,improve life ability,promote the improvement of the condition,and improve satisfaction.