舒适化护理在腰椎间盘突出症患者脊柱内镜治疗期间的应用价值

Application value of comfort nursing on patients with lumbar disc herniation during spinal endoscopic therapy

目的探讨舒适化护理在腰椎间盘突出症患者脊柱内镜治疗期间的应用价值。方法选取中国人民解放军联勤保障部队第九〇七医院2022年3月至2023年3月收治的腰椎间盘突出症行脊柱内镜治疗的患者102例,按照随机数字表法将其分为观察组和对照组各51例。对照组采用腰椎间盘突出症患者脊柱内镜治疗围术期常规护理,观察组在对照组的基础上采用舒适化护理。比较两组患者术后垫枕时间、肛门排气时间、下床活动时间和住院时间来评估其术后恢复情况、采用疼痛视觉模拟评分法(VAS)评估两组患者干预前和出院前的疼痛情况、采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评估两组患者干预前和出院前的心理状态、采用Kolcaba舒适状况量表(GCQ)评估两组患者干预前和出院前的舒适度和采用自拟满意度表评估两组患者出院前的护理满意度。结果观察组术后垫枕时间、肛门首次排气时间、下床活动时间和住院时间均短于对照组,差异均有统计学意义(均P<0.05);干预后,观察组患者VAS评分低于对照组,GCQ量表评分高于对照组,差异均有统计学意义(均P<0.05);观察组患者HAMD和HAMA均低于对照组,差异均有统计学意义(均P<0.05);观察组护理满意度高于对照组,差异均有统计学意义(均P<0.05)。结论采用舒适化护理能够促进腰椎间盘突出症脊柱内镜治疗患者的术后恢复,改善腰椎间盘突出症脊柱内镜治疗期间患者疼痛情况、心理状态,并提高患者对护理的满意度。

ObjectiveTo explore the application value of comfort nursing in patients with lumbar intervertebral disc herniation during endoscopic spine surgery.MethodsA total of 102 patients with lumbar disc herniation who underwent spinal endoscopy treated in the 907th Hospital of Chinese People's Liberation Army Joint Logistic Support Force from March 2022 to March 2023 were selected and divided into observation group and control group with 51 patients in each group according to random number table method.The control group received the routine perioperative care for lumbar endoscopic treatment of lumbar disc herniation,while the observation group received comfort care on the basis of the control group.The postoperative pillow time,anal exhaust time,ambulation time and hospital stay of patients in the two groups were compared to evaluate the postoperative recovery status.Visual Analogue Scale(VAS)was used to evaluate the pain status of patients in the two groups before intervention and before discharge.Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were adopted to assess the psychological status in the two groups before intervention.Kolcaba General Comfort Questionnaire(GCQ)was applied to assess the comfort level before intervention and before discharge,and self-made satisfaction scale was applied to evaluate the nursing satisfaction in the two groups before discharge.ResultsThe postoperative pillow time,first anal exhaust time,getting out of bed time and hospitalization in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the VAS score of the observation group was lower than that of the control group,and the GCQ score was higher than that of the control group,with statistically significant differences(P<0.05).The HAMD and HAMA scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).ConclusionsThe implementation of comfort nursing can promote the postoperative recovery of patients undergoing endoscopic spine surgery for lumbar disc herniation,improve the pain and psychological status of patients during the endoscopic spine surgery for lumbar disc herniation,and enhance patients'satisfaction with nursing care.