5A护理模式联合赋能健康教育对脊髓型颈椎病患者围手术期的应用效果

Application effect of 5A nursing mode combined with empowerment health education on on patients with cervical spondylotic myelopathy during perioperative period

目的探讨5A护理模式联合赋能健康教育对脊髓型颈椎病患者围手术期的应用效果。方法选取2021年1月至2022年10月于赣南医学院第一附属医院收治的60例脊髓型颈椎病患者作为研究对象,按照随机数字表法分为对照组与观察组,各30例。对照组给予常规护理干预,观察组给予5A护理模式联合赋能健康教育干预。比较两组自理能力[生活自理能力量表(activity of daily living,ADL)评分]、颈椎功能[日本骨科协会(Japanese Orthopaedic Association,JOA)评分]、生命质量[生活质量综合评定问卷(comprehensive quality of life assessment questionnaire-74,GQOL-74)评分]、术后并发症发生情况及护理满意度。结果干预后,两组ADL、JOA评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组躯体功能、心理功能、社会功能、物质生活状态评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为6.67%,低于对照组的26.67%,差异有统计学意义(P<0.05)。观察组护理总满意度为93.33%,高于对照组的70.00%,差异有统计学意义(P<0.05)。结论5A护理模式结合赋能健康教育在脊髓型颈椎病围手术期的应用效果良好,能提高患者的自理能力、颈椎活动功能、生命质量,降低并发症发生率,提升患者满意度。

Objective To explore the application effect of 5A nursing mode combined with empowerment health education on patients with cervical spondylotic myelopathy during perioperative period.Methods 60 patients with cervical spondylotic myelopathy admitted to the First Affiliated Hospital of Gannan Medical University from January 2021 to October 2022 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group was given routine nursing intervention,and the observation group was given 5A nursing mode combined with empowerment health education intervention.The self-care ability(activity of daily living[ADL]score),cervical spine activity(Japanese Orthopaedic Association[JOA]score)and quality of life(comprehensive quality of life assessment questionnaire-74[GQOL-74]score),incidence of postoperative complications and nursing satisfaction were compared between the two groups.Results After intervention,the ADL and JOA scores of the two groups were higher than those before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of physical function,psychological function,social function and material life status of the two groups were higher than those before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 6.67%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction in the observation group was 93.33%,which was higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of 5A nursing mode combined with empowerment health education in the perioperative period of cervical spondylotic myelopathy is good,which can improve the patient's self-care ability,cervical spine activity function,quality of life,reduce incidence of postoperative complications and improve patient satisfaction.