加速康复外科理念结合人文关怀护理在脊柱结核患者术后护理中的应用  

Application of the concept of enhanced recovery after surgery combined with humanistic care nursing in postoperative nursing of spinal tuberculosis patients

作　　者：马玲玲 戴倩 丁婷[1] MA Lingling;DAI Qian;DING Ting(Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中西医结合护理(中英文)》2025年第1期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨脊柱结核患者在术后应用加速康复外科理念结合人文关怀护理的效果。方法选择2019年1月至2022年1月在上海交通大学医学院附属仁济医院进行手术治疗的110例脊柱结核患者,根据随机数字表法将其分为对照组和观察组,每组55例。其中,对照组给予常规护理,观察组实施加速康复外科理念结合人文关怀护理。比较2组患者的术后康复情况等指标。结果观察组的创口愈合时间、住院时间、下床时间均短于或早于对照组(P均<0.05)。出院1个月、2个月和3个月后,观察组椎间植骨融合达Ⅱ级程度以及功能恢复达Ⅰ级程度的患者占比均明显优于对照组(P均<0.05)。术后第15天和出院2个月后,观察组的日常生活活动能力量表、生活质量自评量表以及自制健康教育量表评分均高于对照组,视觉模拟评分量表、焦虑自评量表和抑郁自评量表评分均明显低于对照组(P均<0.05)。结论加速康复外科理念结合人文关怀护理在脊柱结核患者的术后护理中具有重要的应用价值,能够促进患者恢复,减轻其疼痛感和负性情绪,提升其日常生活能力和生活质量以及对健康知识的掌握程度。Objective To explore the effect of applying the concept of enhanced recovery after surgery combined with humanistic care nursing in spinal tuberculosis patients after surgery.Methods A total of 110 patients with spinal tuberculosis who underwent surgical treatment at Renji Hospital,Shanghai Jiao Tong University School of Medicine from January 2019 to January 2022 were selected and divided into a control group and an observation group according to the random number table method,with 55 cases in each group.The control group received routine nursing,while the observation group received enhanced recovery after surgery concept combined with humanistic care nursing.The postoperative recovery status and other indicators of the two groups were compared.Results The wound healing time,hospitalization time and getting out of bed time in the observation group were shorter or earlier than those in the control group(all P<0.05).After 1 month,2 months and 3 months after discharge,the proportion of patients with intervertebral bone graft fusion reaching gradeⅡand the proportion of patients with functional recovery reaching gradeⅠin the observation group were significantly higher than those in the control group(all P<0.05).On the 15th day after surgery and 2 months after discharge,the scores of the Modified Barthel Index,Symptom Checklist-90 and self-made health education scale in the observation group were higher than those in the control group,and the scores of the Visual Analogue Scale,Self-Rating Anxiety Scale and Self-Rating Depression Scale in the observation group were significantly lower than those in the control group(all P<0.05).Conclusion The concept of enhanced recovery after surgery combined with humanistic care nursing has important application value in the postoperative nursing of patients with spinal tuberculosis,which can promote the recovery of patients,reduce their pain and negative emotions,improve their daily living ability and quality of life, as well as their mastery of health knowledge.

关 键 词：脊柱结核 加速康复外科理念 人文关怀护理 功能 

分 类 号：R473.6[医药卫生—护理学]