全面术后护理干预在椎间孔镜术治疗腰椎间盘突出症患者中的应用  

Application of Comprehensive Postoperative Nursing Intervention in Treatment of Lumbar Disc Herniation with Transforaminal Discectomy

作　　者：蒋燕[1] Jiang Yan(Nantong Municipal Hospital of Traditional Chinese Medicine ,Nantong Jiangsu 226001, China)

机构地区：[1]南通市中医院,江苏南通226001

出　　处：《齐鲁护理杂志》2017年第14期14-16,共3页Journal of Qilu Nursing

摘　　要：目的:探讨全面术后护理干预在椎间孔镜术治疗腰椎间盘突出症患者中的应用方法及效果。方法:选取2015年1~12月35例行椎间孔镜术治疗腰椎间盘突出症患者作为对照组,给予术后常规护理干预;选取2016年1月~2017年1月35例行椎间孔镜术治疗腰椎间盘突出症患者作为观察组,由专业术后护理小组人员实施全面术后护理干预。比较两组护理效果。结果:两组术后恢复优良率、术后下床活动时间、住院时间比较差异有统计学意义(P<0.05);观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟评分法(VAS)及术后并发症发生率均低于对照组(P<0.05),护理满意度高于对照组(P<0.05)。结论:对椎间孔镜术治疗腰椎间盘突出症患者实施全面术后护理干预具有良好效果,可促进患者尽早康复,缓解不良情绪,降低术后并发症发生率,提高护理满意度。Objective： To investigate the application effects of comprehensive postoperative nursing intervention in the treatment of lumbar disc herniation with transforaminal discectomy. Methods： From January to December in 2015,taking 35 lumbar disc herniation patients underwent transforaminal endoscopic surgery as the control group received routine nursing intervention after surgery. From January in 2016 to January in 2017,taking 35 lumbar disc herniation patients underwent transforaminal endoscopic surgery as the observation group was implemented comprehensive nursing intervention after operation by professional staff. The effects of two groups of nursing were compared. Results： There were statistical differences in two groups＇ recovery rate,postoperative ambulation time,hospitalization time（P〈0. 05）. After the intervention,the observation group＇ s Self-rating Anxiety Scale（SAS）,Self-rating Depression Scale（SDS）,Visual Analogue Scale（VAS） and the incidence of postoperative complications were significantly lower than those of the control group（P〈0. 05）. The observation group＇s nursing satisfaction rate was significantly higher than that in the control group（P〈0. 05）. Conclusion： The implementation of the comprehensive operation for lumbar disc herniation patients with transforaminal endoscopic surgery has a good effect,can promote early rehabilitation of patients,alleviate bad mood,reduce the incidence of postoperative complications,improve nursing satisfaction rate.

关 键 词：腰椎间盘突出 椎间孔镜术 护理干预 

分 类 号：R473.6[医药卫生—护理学]