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加速康复外科下腰椎间盘突出症患者术后满意度调查及相关因素分析 被引量:2

Investigation on postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery and its related factors
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摘要 目的了解加速康复外科(enhanced recovery after surgery,ERAS)下腰椎间盘突出症患者术后满意度情况及其相关因素。方法采用便利抽样的方法,选取2016年9月—2017年6月收治的腰椎间盘突出症患者102例进行相关调查分析。收集患者一般资料、功能状况[运用Oswestry功能障碍指数(Oswestry Disability Index,ODI)分别调查患者术前ODI、出院时术后ODI、出院1个月后的随访ODI]和患者满意度(出院1个月后,运用患者住院满意度问卷调查患者术后满意度)。结果共纳入患者102例,其中男62例,女40例;年龄14~82岁,平均(43.8±14.4)岁;住院天数(6.61±2.49)d。患者术后满意度总分为(62.43±6.37)分,满意度处于中高等水平。术后ODI及出院1个月后ODI与患者住院满意度相关(rs=0.328、0.452,P<0.05)。结论 ERAS下腰椎间盘突出症患者术后满意度还需进一步提高,医护人员应关注患者术后功能恢复情况,以提高患者满意度。 Objective To explore the postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery and its related factors. Methods A total of 102 patients with lumbar disc herniation were selected and analyzed by convenient sampling method from September 2016 to June 2017. The patients' general information, functional status [using the Oswestry Disability Index (ODI) to investigate the preoperative, postoperative and post-discharge ODI] and patients' satisfaction (1 month after the discharge) were collected. Results A total of 102 patients, including 62 males and 40 females, aged from 14 to 82 years with an average of (43.8±14.4) years were included in the study.The mean length of hospital stay was (6.61±2.49) days. The total score of patients' satisfaction was 62.43±6.37, and the satisfaction degree was at the middle and high level. Postoperative and post-discharge ODIs were associated with patients' satisfaction (rs=0.328, 0.452; P〈0.05). Conclusions The postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery should be further improved. The medical staff should pay attention to the recovery of postoperative function in order to improve the patients' satisfaction.
出处 《华西医学》 CAS 2017年第9期1339-1342,共4页 West China Medical Journal
基金 四川省科技厅支撑项目(2014SZ0197) 四川大学华西医院学科卓越发展135工程项目(ZY2016204)
关键词 加速康复外科 腰椎间盘突出症 患者满意度 Enhanced recovery after surgery Lumbar disc herniation Patient's satisfaction
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