摘要
目的:观察医护患三者联动快速康复干预对腰椎内镜术后病人恢复效果的影响。方法:选取2021年1月—2023年10月在我院进行腰椎间盘突出症微创治疗的病人105例,随机分为常规护理组52例和联动护理组53例,分别予以常规护理和医护患三者联动快速康复干预护理。比较两组病人手术前后疾病知识自我认知、疾病自我管理行为、日本骨科协会(JOA)评分、Oswestry功能障碍指数问卷(ODI)评分及护理满意度。结果:术后3个月联动护理组疾病知识自我认知得分、疾病自我管理行为得分、JOA评分、护理满意度均高于常规护理组,ODI指数低于常规护理组(P<0.05)。结论:对腰椎内镜术后病人应用医护患三者联动快速康复干预可以增加病人对疾病的认知水平,提高自我管理能力,促进术后腰椎功能恢复,改善临床症状,同时提高病人对护理工作的满意度。
Objective:To observe the effect of doctor-nurse-patient linkage enhanced recovery intervention on the rehabilitation of patients after lumbar endoscopic surgery.Methods:A total of 105 patients who received minimally invasive treatment for lumbar disc herniation in our hospital from January 2021 to October 2023 were randomly divided into routine nursing group(52 cases)and linkage nursing group(53 cases),and routine nursing and enhanced recovery intervention nursing were provided respectively.The self-recognition of disease knowledge,self-management behavior,Japanese Orthopaedic Association(JOA)score,Oswestry Disability Index(ODI)score and nursing satisfaction were compared between the two groups before and after surgery.Results:Three months after operation,the scores of disease knowledge self-cognition,disease self-management behavior,JOA score and nursing satisfaction in linkage nursing group were higher than those in conventional nursing group.And the ODI score was lower than that in conventional nursing group(P<0.05).Conclusion:The application of doctor-nurse-patient linkage enhanced recovery intervention for patients after lumbar endoscopic surgery could increase patients'cognition level of the disease,improve self-management ability,promote postoperative lumbar function recovery,improve clinical symptoms,and improve patients'satisfaction toward nursing work.
作者
丁连红
李利军
莫存芳
赵华清
DING Lianhong;LI Lijun;MO Cunfang;ZHAO Huaqing(Shanxi Provincial People's Hospital,Shanxi 030012 China)
出处
《护理研究》
北大核心
2025年第12期2097-2102,共6页
Chinese Nursing Research
关键词
腰椎间盘突出症
康复干预
腰椎功能
护理
lumbar disc herniation
rehabilitation intervention
lumbar spine function
nursing