腰椎间盘突出症手术患者分级延续护理模式效果观察  

Graded continuing nursing care after surgical treatment for lumbar disc herniation

作　　者：项蕾蕾[1] 王正梅[1] 潘美华 梁云云 殷颖 XIANG Lei- lei;WANG Zheng-mei;PAN Mei-hua;LIANG Yun-yun;YIN Ying(The First People＇s Hospital of Huai＇an City Affiliated to Nanjing Medical University,Huai＇an 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院,223300

出　　处：《中国矫形外科杂志》2018年第19期1778-1781,共4页Orthopedic Journal of China

摘　　要：[目的]观察分级护理管理模式在腰椎间盘突出症手术患者延续护理中的应用效果。[方法]选择2016年6月～10月收治于本院并行手术治疗的腰椎间盘突出症患者80例做为研究对象,随机分为试验组与对照组,每组各40例。试验组接受分级延续护理管理模式干预,对照组接受一般延续护理,比较两组患者干预后康复行为遵医率、康复效果优良率和延续护理耗时。[结果]延续护理后,试验组与对照组患者康复行为遵医率的差异无统计学意义(P>0.05),两组的康复效果优良率差异无统计学意义(P>0.05)。然而,试验组护理人员用于延续护理的直接干预时间显著少于对照组,差异有统计学意义(P<0.05);试验组护理人员用于延续护理的间接干预时间显著少于对照组,差异有统计学意义(P<0.05)。[结论]采用分级延续护理管理模式对腰椎间盘突出症手术患者实施干预,在节省医院护理资源的同时,能够获得与一般延续护理相同的护理效果。[Objective] To observe the clinical outcomes of graded continuing nursing management after surgical treatment for lumbar disc herniation.[Methods] Form June to October 2016, 80 patients who received surgical treatment for lumbar disc herniation in our hospital were randomly divided into the trial group and the control group, with 40 patients in each group. The patients in the trial group had graded continuing nursing care, while those in the control group received conventional continuing care after operation. The behavioral compliance rate to medical instruction in rehabilitation process, the excellent and good rate of outcomes and time consumed in nursing interference were compared between the two groups. [Results] After continuing nursing care, no statistically significant difference regarding to the behavioral compliance rate to medical instruction in rehabilitation process was noted between the two groups （P〉0.05） , and no significant difference in the excellent and good rate of out-comes were proved either （P〉0.05） . However, the trial group took significantly shorter direct interference times （P〈0.05） , and significantly shorter indirect interference times either than the control group （P〈0.05） . [Conclusion] The graded continuing nursing for patients after operation of lumbar disc herniation with advantage of saving medical resources in hospital does achieve the same clinical outcomes of the conventional nursing care.

关 键 词：分级 延续护理 腰椎间盘突出症 手术 

分 类 号：R681.53[医药卫生—骨科学]