出院后电话随访对腰椎管狭窄症术后患者康复效果的影响  

Rehabilitation Effect by Postdischarge Telephone in Postoperative Patients With Lumbar Canal Stenosis

作　　者：李莉[1] 藏月彤 信鸿杰[1] 程芳芳[1] 

机构地区：[1]内蒙古医科大学第二附属医院脊柱外科,内蒙古呼和浩特010030

出　　处：《内蒙古医学杂志》2017年第3期350-352,共3页Inner Mongolia Medical Journal

摘　　要：目的研究针对经手术治疗的腰椎管狭窄症患者出院后予以电话随访的形式对其遵医程度及康复情况的影响。方法随机将306例经手术治疗的腰椎管狭窄症患者分为观察组和对照组。观察组患者分别在出院及出院1、3、6个月后,由科研组以电话的形式进行随访,了解其康复进展,并根据实际情况予以一对一的健康指导,包括腰部和下肢肌力的锻炼、肢体协调训练、日常生活注意事项及定期检查等。对照组予以常规出院指导和随访方式。在出院及出院1、3、6月后,以问卷的形式,对两组患者的遵医程度进行调查;并在出院时和出院6月后,采用ODI评分标准对患者的术后功能恢复情况进行调查。结果两组患者出院及出院1月后的遵医程度问卷的得分差异无统计学意义(P>0.05);出院3月后、6月后的遵医程度问卷得分差异有统计学意义(P<0.05),观察组遵医程度问卷得分高于对照组。两组患者出院时ODI评分差异无统计学意义(P>0.05),出院6月后的ODI评分差异有统计学意义(P<0.05),观察组ODI评分高于对照组。结论对腰椎管狭窄症术后出院患者进行电话随访有助于提高其遵医程度和改善术后功能恢复情况。Objective To explore the effect of postdischarge telephone intervention with patients to improve patients compliance with doctors＇ advice and promote the rehabilitation of postoperative patients with lumbar canal stenosis.Method Totally 306 patients were assigned to observation group and control group randomly.The patients in the observation group received telephone intervention after discharged and1 month,3months,6months after discharged.The telephone intervention includes exercise,cautions in daily life and regular examination.The patients in the control group received routine health education and follow-up.All patients were investigated by the questionnaire of compliance with doctors＇ advice on the discharge day and 1month,3months,6months after discharged.The ODI score of patients was assessed on discharged day and 6 months after discharged.Results There were no significant difference between the scores of patient＇s compliance with doctors＇ advice in two groups on discharge day and 1months after discharged（P〉0.05）,and the scores in the observation group were significantly higher than those in the control group 3months,6months after discharged（P〈0.05）.There were no significant difference between the ODI score of patients in two groups when they were discharged（P〉0.05）,and the ODI score in the observation group was significantly higher than that in the control group 6months after discharge（P〈0.05）.Conclusion Telephone intervention with patients can improve patients＇ compliance with doctors＇ advice and promote their function rehabilitation.

关 键 词：腰椎管狭窄症 术后 病人依从 康复效果 电话随访 

分 类 号：R473.6[医药卫生—护理学]