摘要
目的探讨腰椎术后以护士为主导的骨科康复一体化模式的康复效果。方法选择235例诊断为腰椎退行性变,行单节段腰椎后路植骨融合内固定术的患者,按住院先后顺序分为对照组118例和观察组117例,对照组实施传统康复模式,观察组实施以护士为主导的骨科康复一体化模式,于手术前和手术后7 d、1个月、3个月、6个月采用Oswestry功能障碍指数(ODI)和腰椎日本骨科学会(JOA)评分评估腰椎功能,数字疼痛评分法(NRS)评估疼痛程度。结果2组患者术前及术后7 d的NRS评分、JOA评分、ODI评分无统计学差异(P>0.05);观察组患者术后1、3、6个月NRS评分、ODI评分显著低于对照组(P<0.05),术后3、6个月JOA评分改善率显著高于对照组(P<0.05)。结论以护士为主导的骨科康复一体化模式可以缓解腰椎管减压植骨融合内固定术患者的术后疼痛,提高腰椎功能改善率。
Objective To explore the establishment of nurse-led integrated model of orthopedic rehabilitation after lumbar surgery.Methods A total of 235 patients diagnosed as lumbar degeneration undergoing single segmental lumbar posterior bone graft fusion and internal fixation were divided into control group with 118 cases and observation group with 117 cases of according to the order of admission.The control group implemented the traditional recovery mode,while the observation group implemented nurse-led integrated model of orthopedic rehabilitation.The Oswestry Disability Index(ODI)and Japanese Orthopaedic Association(JOA)score were used to evaluate lumbar function,and Number-rating Scale(NRS)was used to assess the degree of pain before the surgery,at 7 d,1 month,3 months,6 months after operation were compared.Results There were no significant differences in NRS,JOA scores and improved ODI score between the two groups before surgery and at 7 d after surgery(P>0.05).Scores ofNRS and improved ODI in the observation group were lower than those in the control group at 1,3 and 6 months after surgery(P<0.05),and JOA improvement rates at 3 and 6 months after surgery were lower than those in the control group(P<0.05).Conclusion Nurse-led integrated model of orthopedic rehabilitation can alleviate the postoperative pain of patients undergoing internal fixation of lumbar canal decompressed bone grafting and improve the rate of lumbar function.
作者
徐薇
蔡亚萍
邢娟
杨静
XU Wei;CAI Yaping;XING Juan;YANG Jing(Subei People′s Hospital,Clinical Medicine School of Yangzhou University,Yangzhou,Jiangsu,225001)
出处
《实用临床医药杂志》
CAS
2020年第3期118-120,共3页
Journal of Clinical Medicine in Practice
基金
扬州大学临床医学院院级科研基金项目(yzucms201735)。
关键词
康复一体化
骨科
护理
腰椎管狭窄症
rehabilitation integration
bone department
nursing
lumbar spinal stenosis
