过渡期护理联合心理干预对腰椎间盘突出症患者早期临床疗效及生活质量的影响  

Effects of transitional care combined with psychological intervention on early clinical outcomes and quality of life of lumbar intervertebral disc herniation disease patients

作　　者：孔玮娜 刘亚雯 王秀玲[1] 李珍 于海洋[1] KONG Weina;LIU Yawen;WANG Xiuling;LI Zhen;YU Haiyang(Fuyang People's Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市人民医院手术室,安徽省阜阳市236000

出　　处：《护理实践与研究》2024年第3期353-358,共6页Nursing Practice and Research

基　　金：2021年度安徽省卫生健康委科研项目(编号:AHWJ2021b111)。

摘　　要：目的探讨过渡期护理联合心理干预方式对腰椎间盘突出症患者术后并发症、疼痛程度及生活质量的影响。方法选取2020年1月—2022年1月医院收治的63例腰椎间盘突出症患者为研究对象,按组间基本资料具有可比性的原则将其分为对照组31例和观察组32例。围手术期中,对照组接受常规护理,观察组在对照组的基础上接受过渡期护理联合心理干预方式。使用疼痛视觉模拟评分(VAS)来评估两组患者在术前、术后24 h和术后1个月随访时的疼痛程度。同时,使用ODI残障指数(ODI)评估患者术前、术后24 h和术后1个月随访时的功能状况。术后1周和术后1个月,采用SAS量表评估患者的术前焦虑水平和电话随访焦虑水平。术后1个月随访时使用欧洲五维三水平健康量表(EQ-5D-3L)评估两组患者的生活质量。结果两组患者术前相较术后ODI及VAS评分均呈降低趋势,时间之间差异有统计学意义(P时间<0.05),组别及交互效应差异不显著(P>0.05)。随访时SAS评分呈降低趋势,时间之间差异有统计学意义(P时间<0.05);术后各时点均以观察组低于对照组,差异有统计学意义(P组间<0.05),EQ-5D-3L健康描述系统结果中,观察组5个维度均优于对照组,差异有统计学意义(P<0.05)。结论过渡期护理联合心理干预在腰椎间盘突出症患者围术期护理中的应用可改善疼痛程度、减轻焦虑状况、提高生活质量,对于改善腰椎间盘突出症患者的康复效果具有重要的临床意义。Objective To explore the effects of transitional care combined with psychological intervention on postoperative complications,pain level and quality of life of patients with lumbar intervertebral disc herniation.Methods 63 cases of lumbar intervertebral disc herniation patients admitted to the hospital from January 2020 to January 2022 were selected as the research object,they were divided into 31 cases of the control group and 32 cases of the observation group according to the principle of the comparability of the basic data between the groups.During the perioperative period,the control group received conventional nursing care,and the observation group received transitional nursing care combined with psychological intervention on the basis of the control group.The Visual Pain Analog Scale(VAS)was used to assess the pain level of patients in both groups at preoperative,24 h postoperative and 1 month postoperative follow-up.Meanwhile,the Oswestry Disability Index(ODI)was used to assess the patients'functional status at preoperative,24 h postoperative and 1 month postoperative follow-up.At 1 week postoperatively and 1 month postoperatively,patients'preoperative anxiety levels and telephone follow-up anxiety levels were assessed using the SAS scale.The quality of life of patients in both groups was assessed using the Euro Five Dimensions Questionnaire(EQ-5D-3L)at the 1 month follow-up.Results The results showed that ODI and VAS scores tended to decrease in the preoperative period compared with the postoperative period in both groups,with statistically signifi cant differences between times(P<0.05),and the differences in group and interaction effects were not signifi cant(P>0.05);in post hoc comparisons,ODI and VAS scores in the observation group were lower than those of the control group at all points after the operation,and the differences were statistically signifi cant(P<0.05).SAS scores showed a decreasing trend at follow-up,and the difference between times was statistically signifi cant(P<0.05);at all postopera

关 键 词：过渡期护理 心理干预 腰椎间盘突出症 围手术期护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]