ESPCS护理模式对腰椎间盘突出症患者术后疼痛和腰椎功能的影响  

Effect of ESPCS Nursing Model on Postoperative Pain and Lumbar Function in Patients with Lumbar Disc Herniation

作　　者：董晓利[1] 李影[1] 牛婷婷[1] 刘益兵[2] Dong Xiaoli;Li Ying;Niu Tingting(Department of Orthopedics,Zhengzhou People’s Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州人民医院骨科,河南郑州450000 [2]郑州市骨科医院颈肩腰腿痛科,河南郑州450000

出　　处：《黑龙江医学》2024年第23期2923-2926,共4页Heilongjiang Medical Journal

基　　金：2020年河南省医学教育研究项目(LHGJ20191139)。

摘　　要：目的:观察讲解-模拟-练习-沟通-支持(ESPCS)护理模式对腰椎间盘突出症患者术后疼痛和腰椎功能的影响。方法:选取2020年6月—2022年6月样本医院骨科收治的100例腰椎间盘突出症患者作为研究对象,按数字编号信封法随机分为实验组和对照组,每组各50例。两组患者均在样本医院接受手术治疗,对照组给予术后常规护理干预,实验组在对照组基础上给予ESPCS护理模式干预,比较两组患者的干预效果和术后并发症发生率,比较两组患者术后1 d、术后15 d、术后30 d的术后疼痛程度和腰椎功能。结果:实验组干预效果优良率高于对照组,差异有统计学意义(χ^(2)=5.002,P<0.05);术后15 d、30 d,两组患者VAS评分明显降低,实验组降幅更大,差异有统计学意义(t=3.307、2.486,P<0.05);术后15 d、30 d,两组患者JOA评分明显升高,实验组涨幅更大,差异有统计学意义(t=3.992、2.456,P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(χ^(2)=0.919、1.515、0.706,P>0.05)。结论:ESPCS护理模式可促进腰椎间盘突出症术后康复,减轻患者疼痛程度并改善腰椎功能。Objective:To observe the effect of explanation-simulation-practice-communication-support(ESPCS)nursing model on postoperative pain and lumbar function in patients with lumbar disc herniation.Methods:100 patients with lumbar disc herniation admitted to the Department of Orthopedics of the hospital from June 2020 to June 2022 were selected as research subjects.The selected patients were randomly divided into experimental group and control group by the numbered envelope method,with 50 cases in each group.Patients in both groups received surgical treatment in the hospital,and the control group was given postoperative routine nursing intervention while the experimental group received ESPCS nursing model intervention based on the control group.The intervention effect and incidence rates of postoperative complications of the two groups were compared.Postoperative pain degree[Visual Analogue Scale(VAS)]and lumbar function[Japanese Orthopedic Association(JOA)lumbar lesion efficacy standard)]were recorded and compared between the two groups 1 day,15 days and 30 days after surgery.Results:The excellent and good rate in experimental group was significantly higher than that in control group(χ^(2)=5.002,P<0.05).15 and 30 days after surgery,the VAS score in the two groups was significantly decreased(t=3.307,2.486;P<0.05),and the decrease in experimental group was greater(t=3.992,2.456;P<0.05).The JOA score was significantly increased in both groups,and the increase was greater in experimental group(t=3.992,2.456;P<0.05).There were no significant differences in postoperative complications between the two groups(χ^(2)=0.919,1.515,0.706;P>0.05).Conclusion:ESPCS nursing model can promote the postoperative rehabilitation of lumbar disc herniation,relieve the pain degree,and improve the lumbar function.

关 键 词：腰椎间盘突出症术后 讲解-模拟-练习-沟通-支持护理模式 腰椎功能 疼痛 

分 类 号：R47[医药卫生—护理学]