摘要
目的探讨快速康复外科护理模式在腰椎后路减压融合内固定手术治疗腰椎退行性疾病围手术期护理中的应用效果。方法选取54例因腰椎滑脱或腰椎管狭窄症接受腰椎后路减压融合手术治疗的患者,按照随机数字表法随机分为观察组25例和对照组29例。观察组应用快速康复外科围手术期护理模式,对照组则采取传统护理方案。比较两组患者术后首次下床时间、住院时间、住院当天和术后出院时Oswestry功能障碍指数问卷表(ODI)评分、视觉模拟评分法(VAS)评分、日常生活活动能力(ADL)评分和满意度。结果观察组患者首次下床时间(3.52±0.82)d早于对照组(4.31±0.97)d,腰腿痛功能障碍改善程度[(2.04±1.10)比(1.93±0.90)分]、生活自理能力[(71.20±8.81)比(66.03±7.49)分]和针对此次住院治疗的总体满意度[(79.20±4.56)比(76.34±5.44)分]均优于对照组(P<0.05)。结论快速康复外科护理模式在腰椎后路减压融合内固定手术治疗腰椎退行性疾病中的应用是安全、有效的,能更好地促进患者早日康复,提高患者满意度。
Objective To investigate the effect of fast track surgery in perioperative nursing care of patients with lumbar degenerative disease. Methods 54 patients receiving lumbar posterior decompression and fusion for lumbar spondylolisthesis or lumbar spinal stenosis were included and randomly divided into the experimental group and the control group. The experimental group was applied FTS for perioperationg nursing of lumbar spine surgery. The control group was used the traditional lumbar perioperative nursing. Time of getting out of the bed,hospitalization tim,the Oswestry Disability Index（ODI） score,Visual Analogue Score（VAS）,activities of daily living（ADL） score and satisfaction score were applied to compared between two groups. Results The off bed activity time of patients in the experimental group（3. 52 ± 0. 82） d were earlier than that of the control group（4. 31 ± 0. 97） d. The improvement degree of the dysfunction of low back pain [（2. 04 ± 1. 10） vs.（1. 93 ± 0. 90） ],daily life ability [（71. 20 ± 8. 81） vs.（66. 03 ± 7. 49） ]and the satisfaction [（79. 20 ± 4. 56） vs.（76. 34 ± 5. 44） ] were all superior to those of the control group（P〈0. 05）. Conclusion The FTS nursing mode is safe and effective in the treatment of lumbar degenerative diseases by posterior lumbar decompression,fusion and internal fixation. It can better promote the recovery of patients and improve patient satisfaction.
作者
罗琨
袁凌
丁巧俊
LUO Kun;YUAN Ling;DING Qiaojun(Department of Spinal Bone,Yijishan Hospital of Wannan Medical College,Wuhu,Ahnui 241001,China)
出处
《安徽医药》
CAS
2018年第8期1617-1620,共4页
Anhui Medical and Pharmaceutical Journal
基金
安徽省科技厅公益性技术应用研究联动计划项目(160410804043)
关键词
快速康复外科
腰椎退行性疾病
围手术期
护理
Fast track surgery
Lumbar degenerative disease
Perioperative period
Nursing
