腰椎退行性疾病患者腰椎融合术后的“爱心访”延伸服务  

Application of extended service based on “Loving Care” nursing for patients undergoing lumbar interbody fusion for the lumbar degenerative disease

作　　者：杨良枫 李小峰[2] 冯祖喜 朱莉[4] 夏丹 刘晓菊 YANG Liangfeng;LI Xiaofeng;FENG Zuxi;ZHU Li;XIA Dan;LIU Xiaoju(Quality Control Office,The Second People's Hospital of Yichang,Yichang,Hubei,443000;Department of Nursing,The Second People's Hospital of Yichang,Yichang,Hubei,443000;Hospital Labor Union,The Second People's Hospital of Yichang,Yichang,Hubei,443000;Operating Room,The Second People's Hospital of Yichang,Yichang,Hubei,443000;Department of Chemoradiotherapy,The Second People's Hospital of Yichang,Yichang,Hubei,443000;Department of Orthopedics,The Second People's Hospital of Yichang,Yichang,Hubei,443000)

机构地区：[1]三峡大学第二人民医院湖北省宜昌市第二人民医院质控办,湖北宜昌443000 [2]三峡大学第二人民医院湖北省宜昌市第二人民医院护理部,湖北宜昌443000 [3]三峡大学第二人民医院湖北省宜昌市第二人民医院工会,湖北宜昌443000 [4]三峡大学第二人民医院湖北省宜昌市第二人民医院手术室,湖北宜昌443000 [5]三峡大学第二人民医院湖北省宜昌市第二人民医院放化疗科,湖北宜昌443000 [6]三峡大学第二人民医院湖北省宜昌市第二人民医院骨科,湖北宜昌443000

出　　处：《中西医结合护理（中英文）》2019年第3期14-17,共4页Journal of Clinical Nursing in Practice

基　　金：2017年宜昌市科技局软科学计划项目(A17-30311)

摘　　要：目的探讨对腰椎退行性疾病患者腰椎融合术后实施"爱心访"延伸服务的效果。方法选取2016年5月—2017年4月收治的腰椎退行性疾病行腰椎融合术治疗的患者38例为对照组,出院后开展传统电话回访;选取2017年5月—2018年4月收治的40例患者为观察组,出院后采用基于责任制"爱心访"的延伸服务。采用Qswestry功能障碍指数评分(ODI)评估腰椎功能改善情况,采用焦虑自评量表(SAS)评估患者心理状态,采用自制量表评估患者依从性和对随访服务的满意程度。结果出院后1个月和3个月时,观察组ODI和SAS评分均低于对照组,依从性评分高于对照组,差异有统计学意义(P<0.01)。观察组患者对延伸服务的满意度评分高于对照组(P<0.01)。结论基于责任制"爱心访"的延伸服务能有效促进腰椎退行性疾病患者腰椎融合术后腰椎功能康复。Objective To investigate the effect of extended service based on “Loving Care ” nursing for patients undergoing lumbar interbody fusion(LIF) for the lumbar degenerative disease(LDD).Methods Totally 38 LDD patients undergoing LIF between May 2016 and April 2017 were included as the control group,another 40 LDD patients undergoing LIF between May 2017 and April 2018 were enrolled as the observation group.The routine nurse-led telephone follow-up was conducted in the control group,and the extended service based on “Loving Care” responsible nursing was carried out in the observation group.The lumbar function,anxiety status,compliance and satisfactory of patients after discharge form hospital were evaluate by using Oswestry Disability Index (ODI),Self-rating Anxiety Scale (SAS) and self-made questionnaires,respectively.Results At 1 and 3 months after discharge form hospital,patients in the observation group had lower scores of ODI and SAS compared with those in the control group(P<0.01).There was a better patient compliance with rehabilitation interventions in the observation group than that in the control group (P<0.01).Patients in the observation group were more satisfied with the service during follow-up compared with those the control group (P<0.01).Conclusion The extended service based on “Loving Care ” responsible nursing is effective to improve the postoperative rehabilitation of LDD patients undergoing LIF.

关 键 词：责任制 延伸服务 腰椎融合术 腰椎退行性疾病 术后康复 健康管理 

分 类 号：R473.6[医药卫生—护理学]