摘要
目的探讨延续护理在颈椎病患者行射频消融髓核成形术后的应用效果。方法选取2014年未实行延续护理时在本院行射频消融髓核成形术的40例颈椎病患者作为对照组，男27例，女13例；神经根型颈椎病16例，混合型颈椎病24例。2015年实行延续护理的40例颈椎病患者作为观察组，男22例，女18例；神经根型颈椎病17例，混合型颈椎病23例。对照组给予射频消融髓核成形手术护理措施护理。观察组在此基础上进一步予以延续护理措施，比较两组患者在术前及出院后其颈椎功能障碍指数（NDI）及患者满意度等指标情况。结果术后随访1年，观察组患者术后3、6、12个月NDI评分低于对照组（P〈0．001），护理满意程度高于对照组（P〈0．001）。结论对行射频消融髓核成形术后的颈椎病患者应用延续护理，能有效改善患者的颈椎功能障碍，促进术后康复，提高护理服务质量及患者对护理工作的满意度。
Objective To investigate the application effect of continuous nursing care in patients with cervical spondylosis after percutaneous coblation nucleoplasty. Methods 40 patients with cervical spondylosis after percutaneous coblation nucleoplasty who did not undergo continuous nursing care in 2014 were assigned into control group. There were 27 males and 13 females, including 16 patients with cervical spondylotic myelopathy and 24 patients with mixed cervical spondylosis. 40 patients who underwent continuous nursing care in 2015 were assigned into observation group. There were 22 males and 18 females, including 17 patients with cervical spondylotic myelopathy and 23 patients with mixed cervical spondylosis. The patients in the control group received routine nursing for percutaneous coblation nucleoplasty, and the patients in the observation group received continuous nursing care on the basis. Neck disability index （NDI） and patients＇ satisfaction degree were analyzed. Results Patients were followed up for one year. The NDI score in the observation group at the 3rd, 6th, and 12th month after the operation were lower than those in the control group （P 〈 0.001）. The degree of satisfaction on the whole nursing course in the observation group was significantly higher than that in the control group （P 〈 0.001）. Conclusions The application of continuous nursing care in patients with cervical spondylosis after percutaneous coblation nucleoplasty could effectively improve the cervical spine dysfunction, promote postoperative rehabilitation, obviously improve the quality of nursing and the degree of satisfaction on the whole nursing course.
出处
《国际医药卫生导报》
2017年第12期1829-1831,1834,共4页
International Medicine and Health Guidance News
基金
广东省科技计划项目（2014A020212571）
关键词
颈椎病
射频消融髓核成形术
延续护理
康复
Cervical spondylosis
Percutaneous coblation nucleoplasty
Continuous nursing care
Rehabilitation
