摘要
目的探讨阶梯式康复护理干预对微创腰椎间盘突出患者术后恢复的影响。方法对100例患者随机分为对照组和观察组，每组各50例，对照组患者采用常规的护理方法，观察组患者在常规护理的基础上给予阶梯式康复护理干预。观察两组患者在手术前、出院时、术后4周及12周的疼痛评分、Oswestry腰背和双下肢功能障碍评分及腰痛疗效评分。结果手术前及术后12周两组患者疼痛评分比较差异均无统计学意义（P〉0．05）；出院时、术后4周观察组疼痛评分分别为（1．59±0．56），（1．01±0．34）分，均低于对照组评分[（2．04±0．70），（1．98±0．27）分]，差异有统计学意义（t分别为I．98，2．63；P〈0．05）。两组患者手术前Oswestry腰背、双下肢功能障碍评分及JOA腰痛评分比较差异均无统计学意义（P〉0．05）；观察组患者Oswestry腰背、下肢功能障碍评分在出院时、术后4周、术后12周均较对照组低，差异有统计学意义（t分别为3．17，3．39，3．47；P〈0．05）；JOA腰痛疗效评分在出院时、术后4周、术后12周均高于对照组，差异均有统计学意义（t分别为5．04，6．18，5．91；P〈0．05）。结论对微创腰椎间盘突出手术患者采用阶梯式康复护理干预更有利于腰椎间盘突出患者的康复。
Objective To investigate the effect of nursing intervention on the patients with minimally invasive lumbar disc surgery. Methods Totals of 100 patients with lumbar disc herniation were recruited and were randomly divided into observation group （ n = 50 ） and control group （ n = 50 ）. The control group was treated with conventional methods of nursing care, while the observation group was taken ladder nursing intervention based on routine care. They were investigated with pain scale, disability rating scale before surgery, discharge, 4th week and 12th week after surgery. Results No significant difference of pain score was found between two groups before surgery, 12th week after surgery （P 〉 0.05）. Pain scores in observation group at discharge, 4th week after surgery were significantly lower than that in control group [ （1.59 ± 0.56） vs （2.04 ± 0.70）, （ 1.01 ±0.34） vs （ 1.98 ±0.27） ;t= 1.98,2.63 ,respectively ;P 〈0.05） ]. No significant difference of Oswestry lumbar spinal cord and lower limbs disability score was found between two groups before surgery （P 〉 0.05 ）. While Oswestry lumbar spinal cord and lower limbs disability score in observation group at discharge, 4th week and 12th week after surgery were significantly lower than that in control group （t = 3.17,3.39,3.47, respectively;P 〈0.05）. curative effect score of JOA Waist pain in observation group at discharge,4th week and 12th week after surgery were significantly higher than that in control group（ t = 5.04,6.18,5.91, respectively; P 〈 0.05 ）. Conclusions Ladder rehabilitation nursing interventions for minimally invasive lumbar disc surgery patients more conducive to the rehabilitation of lumbar disc patients.
出处
《中华现代护理杂志》
2012年第36期4378-4380,共3页
Chinese Journal of Modern Nursing
关键词
腰椎间盘突出
微创手术
阶梯式康复护理
疼痛
下肢功能
Lumbar intervertebral disc
Minimally invasive surgery
Ladder rehabilitation nursing
Pain
Lower limbs function
