脊柱外科腰椎择期手术患者支具佩戴指导时机的分析与探讨  

Analysis and discussion on the optimum timing of the brace-wear guidance for patients undergoing lumbar selective operation

作　　者：韩冰[1] 金鑫[1] 闫硕[1] 阎凯[1] 

机构地区：[1]北京积水潭医院脊柱外科,北京100035

出　　处：《护士进修杂志》2013年第4期349-351,共3页Journal of Nurses Training

摘　　要：目的分析脊柱外科腰椎择期手术患者在接受支具佩戴指导方面的影响因素,探讨对于脊柱外科腰椎择期手术患者进行支具佩戴指导的最佳时机。方法将2011年10～12月我科收入的初次行腰椎择期手术患者80例,采用任意抽样的方法随机分为实验组和对照组。实验组患者术前1天按照脊柱外科护理用具指南腰围佩戴流程进行指导,对照组采用常规术后第一次坐起下地时进行支具佩戴指导,观察两组患者腰围佩戴评价效果、护士指导用时以及患者术后第一次佩戴腰围坐起时疼痛变化。结果两组患者在腰围佩戴评价方面差异有显著意义(P<0.05)。护士用时方面实验组低于对照组。两组患者第一次坐起后疼痛加重程度差异有显著意义(P<0.05)。结论在术前1天对患者进行术后腰围佩戴指导所用指导时间小于术后第一次坐起下地时,再对患者进行指导,同时患者对支具佩戴的掌握情况也优于术后指导。护士应把握术前1天患者精力较为集中,且对术后注意事项较为关注时进行术后支具佩戴指导,可以取得较好的效果,并减少护士在此项工作所占用的时间。Objective To analyze the factors on the brace-wear guidance for patients undergoing lumbar selective operation, and to discuss the optimum timing of the brace-wear guidance. Method 80 patients undergoing lumbar selective operation in our department from October 2011 to December 2011 were randomly divided into experimental and control groups using convenience sampling method. Patients in experimental group was gave the patients brace- wear guidance one day before operation, and in the control group at the first time to sit up and to go to the fields postoperatively. The brace-wear evaluation, time of the guidance and the pain degree of the patients was observed respectively. Result There are significant differences on the brace-wear evaluation, time of the guidance and the pain degree between the two groups. The experimental group is superior to the control group. Conclusion The time of guidance is less and the grasp of brace-wear is better if we gave the patients brace-wear guidance one day before operation. Nurses should seize the moment when the patients can concentrate on the matters needing attention to give the brace-wear guidance. Better results can be achieved,and the time of nursing was saved.

关 键 词：脊柱外科 支具佩戴 健康宣教 护理 

分 类 号：R472[医药卫生—护理学]