阶梯式康复护理干预对腰椎间盘突出症术后患者生活质量的影响  

Effect of Stepped Rehabilitation Nursing Intervention on Quality of Life of Patients with Lumbar Disc Herniation after Surgery

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作  者:殷洁 徐利群[1] YIN Jie;XU Liqun(Department of Orthopaedics,The First Affiliated Hospital of Nanchang University,Nanchang 330000,China)

机构地区:[1]南昌大学第一附属医院骨科,江西南昌330000

出  处:《中国伤残医学》2024年第23期128-132,共5页Chinese Journal of Trauma and Disability Medicine

摘  要:目的:分析腰椎间盘突出症术后患者接受阶梯式康复护理干预的效果。方法:选取2020年9月—2023年8月南昌大学第一附属医院收治的120例经腰椎融合术治疗的腰椎间盘突出症术后患者为研究对象,按随机数字表法将其分为对照组及观察组,各60例。对照组采取常规护理干预,观察组采取阶梯式康复护理干预。两组均干预4周。对比两组疗效评定情况、恢复情况、疼痛感受、恐动心理、睡眠质量及生活质量。结果:观察组腰椎间盘突出症疗效评定量表评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组日本骨科协会量表评分高于对照组,差异有统计学意义(P<0.05)。术后7d,两组中文版术后疼痛恐惧量表、坦帕运动恐惧评分量表评分均低于术后1d,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组中文版理查兹—坎贝尔睡眠量表评分、关节炎生活质量测量量表2-短卷中各个维度评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:腰椎间盘突出症术后患者采用阶梯式康复护理干预,具有良好的干预效果,促进其术后康复进程,降低疼痛感受结恐动心理,改善睡眠质量及生活质量。Objective:To analyze the effect of step rehabilitation nursing intervention in patients with lumbar disc herniation after surgery.Methods:A total of 120 patients with lumbar disc herniation after lumbar fusion treated in the First Affiliated Hospital of Nanchang University from September 2020 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 60 cases in each group.The control group took routine nursing intervention,the observation group took step rehabilitation nursing intervention.Both groups were intervened for 4 weeks.The evaluation of efficacy,recovery,pain perception,kinetophobia,sleep quality and quality of life of the two groups were compared.Results:The Therapeutic Effect Rating Scale score of lumbar disc herniation in observation group was lower than that in control group,the difference was statistically significant(P<0.05).After intervention,the Japanese Orthopaedic Association Scale score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).On the 7th day after surgery,the scores of the Chinese version of Postoperative Pain Fear Scale and the Tampa Scale for Kinesiophobia in both groups were lower than those on the 1st day after surgery,and the observation group were lower than the control group,with statistical significance(P<0.05).After intervention,the scores of all dimensions in the Chinese version of Richards-Campbell Sleep Questionnaire Scale and Arthritis Impact Measurement Scales 2 were lower in both groups than before intervention,and the observation group were higher than the control group,with statistical significance(P<0.05).Conclusion:The step rehabilitation nursing intervention for patients with lumbar disc herniation after surgery has a good intervention effect,which can promote the postoperative rehabilitation process,reduce pain perception and kinesophobia,and improve sleep quality and quality of life.

关 键 词:腰椎间盘突出症 腰椎融合术 疼痛 生活质量 

分 类 号:R473.6[医药卫生—护理学]

 

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