罗伊适应模式护理在腰椎间盘突出症患者术后康复中的应用  

Application of Roy Adaptation Model Nursing in Postoperative Rehabilitation of Patients with Lumbar Disc Herniation

作　　者：王碧云[1] WANG Biyun(Hui’an Hospital of Traditional Chinese Medicine,Hui’an 362100,China)

机构地区：[1]惠安县中医院,福建惠安362100

出　　处：《中外医学研究》2024年第9期72-76,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨罗伊适应模式护理对腰椎间盘突出症(LDH)患者术后康复的影响。方法:选取2022年1月—2023年1月惠安县中医院收治的150例经皮椎间孔镜下髓核摘除术的LDH患者作为研究对象,采用随机数表法将患者分为对照组(n=75)和研究组(n=75)。对照组给予外科术后常规护理,研究组在对照组基础上接受罗伊适应模式护理。比较两组干预前后心理弹性[心理弹性量表(CD-RISC)]、康复锻炼依从性、疼痛程度[视觉模拟评分法(VAS)]、生活质量[生存质量测定量表(WHOQOL-BREF)]和腰椎功能[Oswestry功能障碍指数问卷中文简化版(SCODI)]。结果:干预前,两组心理弹性、疼痛程度、生活质量、腰椎功能比较,差异无统计学意义(P>0.05);两组干预后心理弹性及生活质量较干预前提高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组出院1个月、3个月康复锻炼依从性高于对照组,差异有统计学意义(P<0.05)。干预后,两组疼痛程度和腰椎功能较干预前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:罗伊适应模式护理能有效增加LDH术后康复患者的心理弹性,能在缓解疼痛的基础上,提高锻炼依从性,改善腰椎功能,进而提高生活质量。Objective:To explore the effect of Roy adaptation model nursing on postoperative rehabilitation of patients with lumbar disc herniation(LDH).Method:A total of 150 patients with LDH who underwent percutaneous transforaminal endoscopic discectomy in Hui’an Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the study objects,and they were randomly divided into the control group(n=75)and the study group(n=75).The control group was given routine nursing after surgery,and the study group was given Roy adaptation model nursing on the basis of the control group.The psychological resilience[connordavidson resilience scale(CD-RISC)],rehabilitation exercise compliance,pain degree[visual analogue scale(VAS)],quality of life[quality of life scale(WHOQOL-BREF)]and lumbar function[simplified Chinese version of Oswestry disability index questionnaire(SCODI)]were compared between two groups before and after intervention.Result:Before intervention,there were no significant differences in psychological resilience,pain degree,quality of life and lumbar function between two groups(P>0.05).The psychological resilience and quality of life in both groups after intervention were higher than those before intervention,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The compliance of rehabilitation exercise in the study group at 1 month and 3 months after discharge were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the pain degree and lumbar function of two groups were lower than those before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Roy adaptation model nursing can effectively increase the psychological resilience of postoperative rehabilitation patients with LDH,on the basis of relieving the pain of patients,it can improve the exercise compl

关 键 词：罗伊适应模式 腰椎间盘突出症 经皮椎间孔镜术 心理弹性 依从性 

分 类 号：R473.6[医药卫生—护理学]