"互联网+"联合多学科院外管理模式在腰椎内固定术后患者医院-家庭过渡期管理中的应用  

Effects of"Internet+"combined with multidisciplinary out of hospital management in hospital-home transitional period management of patients after lumbar internal fixation

作　　者：马红娜 秦乡音 张卫红[1] 苏智慧[1] 贾清云 王彦艳[1] Ma Hongna;Qin Xiangyin;Zhang Weihong;Su Zhihui;Jia Qingyun;Wang Yanyan(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nuclear Medicine Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州450052 [2]郑州大学第一附属医院核医学科,郑州450052

出　　处：《中华现代护理杂志》2024年第9期1212-1217,共6页Chinese Journal of Modern Nursing

基　　金：河南省高等学校重点科研项目计划(23B320008)。

摘　　要：目的探讨"互联网+"联合多学科院外管理模式在腰椎内固定术后患者医院-家庭过渡期管理中的应用效果。方法采用便利抽样法, 选择2021年10月—2022年9月于郑州大学第一附属医院骨科行腰椎内固定术的176例患者, 根据入院时间将2021年10月—2022年3月收治患者纳为对照组, 将2022年4—9月收治患者纳为观察组, 两组各88例。对照组实施常规术后院外随访管理, 观察组实施"互联网+"联合多学科院外管理。干预3个月后, 比较两组的腰背功能恢复状况[Oswestry功能障碍指数量表(ODI)和Macnab评分]、手术疗效评估(NaKa分级法)、护理满意度和再次入院率。结果 3个月后, 观察组ODI评分低于对照组, Macnab评分高于对照组, NaKa分级优于对照组, 差异有统计学意义(P<0.05)。观察组和对照组的手术总有效率分别为88.64%(78/88)、67.05%(59/88), 护理满意度分别为94.32%(83/88)、78.41%(69/88), 再次入院率分别为4.55%(4/88)、17.05%(15/88), 观察组手术总有效率和护理满意度高于对照组, 再次入院率低于对照组, 差异均有统计学意义(P<0.05)。结论 "互联网+"联合多学科院外管理模式可以有效改善腰椎内固定手术患者医院-家庭过渡期的腰背功能恢复效果, 提高手术疗效与护理满意度, 降低再次入院率。Objective To explore the effect of"Internet+"combined with multidisciplinary out of hospital management in hospital-home transitional period management of patients after lumbar internal fixation.Methods From October 2021 to September 2022,convenience sampling was used to select 176 patients who underwent lumbar internal fixation at the Department of Orthopedics of the First Affiliated Hospital of Zhengzhou University.According to the admission time,patients enrolled from October 2021 to March 2022 were included in the control group,and patients enrolled from April to September 2022 were included in the observation group,with 88 cases in each group.The control group implemented routine out of hospital follow-up management,while the observation group implemented"Internet+"combined with multidisciplinary out of hospital management.After three months of intervention,the recovery of lumbar and back function[Oswestry Disability Index(ODI)and Macnab score],surgical efficacy(NaKa grading),nursing satisfaction,and readmission rate were compared between the two groups.Results After three months,the ODI score of the observation group was lower than that of the control group,and the Macnab score was higher than that of the control group,the NaKa grading was better than that of the control group,with statistically significant differences(P<0.05).In the observation group and control group,the total effective rate of surgery,nursing satisfaction,and readmission rate were 88.64%(78/88)vs.67.05%(59/88),94.32%(83/88)vs.78.41%(69/88),4.55%(4/88)vs.17.05%(15/88),respectively.The total effective rate and nursing satisfaction of the observation group were higher than those of the control group,and the readmission rate was lower than that of the control group,with statistical differences(P<0.05).Conclusions"Internet+"combined with multidisciplinary out of hospital management can effectively improve the recovery of lumbar function in hospital-home transitional period management of patients after lumbar internal fixation,enhance the surg

关 键 词：康复护理 腰椎退行性疾病 腰椎内固定术 互联网+ 多学科协作 医院-家庭过渡期 

分 类 号：R473.6[医药卫生—护理学]