摘要
目的 探讨基于MDT的快速康复护理在布病脊柱炎患者围手术期中的应用效果。方法 选取河北北方学院附属第一医院2016年1月—2023年1月收治的80例布病脊柱炎患者为研究对象,所有患者均接受住院手术治疗。采用随机数字表法将患者分为观察组和对照组,每组40例。对照组患者接受常规围手术期护理干预,观察组患者接受基于MDT的快速康复护理干预。比较2组患者的住院时间、围手术期并发症发生情况,比较术前及术后1、3、5 d的视觉模拟评分法(VAS)评分,比较术前、术后5 d的服药信念特异性问卷(BMQ)、Morisky用药依从性问卷(MMAS-8)、医院焦虑抑郁量表(HADS)、Oswestry功能障碍指数问卷表(ODI)评分等指标。结果 观察组患者的住院时间为(8.52±1.24)d,短于对照组的(9.37±2.05)d,差异有统计学意义(t=2.244,P=0.028)。2组患者围手术期并发症发生率比较,差异无统计学意义(χ^(2)=0.139,P=0.709)。观察组患者术后1、3、5 d的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后5 d时BMQ问卷中必要信念维度评分高于对照组,顾虑信念维度评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后5 d时MMAS-8评分高于对照组,差异有统计学意义(P<0.05)。观察组患者术后5 d时HADS量表的焦虑、抑郁2个维度评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后5 d时ODI指数小于对照组,差异有统计学意义(P<0.05)。结论 基于MDT的快速康复护理干预用于布病脊柱炎患者围手术期中,有助于缩短患者住院时间,发挥较好疼痛管理作用,增强患者用药信念,改善患者心理状态,提高治疗依从性,促进脊柱活动功能恢复。
Objective This paper aims to investigate the effect of MDT-based fast-track nursing in the perioperative period of patients with brucellosis spondylitis.Methods Eighty patients with brucellosis spondylitis admitted to the First Affiliated Hospital of Hebei North University from January 2016 to January 2023 were selected as the study participants.All patients received inpatient surgery.The patients were allocated to the observation group and control group by random number table,with 40 cases in each group.Patients in the control group received routine perioperative nursing intervention,and patients in the observation group,MDT-based fast-track nursing intervention.The length of hospital stay and perioperative complications were compared between the two groups;the visual analogue scale(VAS)scores were compared before surgery and at 1,3,and 5 days after surgery.Besides,the Beliefs About Medicines Questionnaire(BMQ)scores,Morisky Medication Adherence Scale(MMAS-8),Hospital Anxiety and Depression Scale(HADS),and Oswestry Disability Index(ODI)scores were compared before surgery and at 5 days after surgery.Results The length of hospital stay of the observation group was significantly shorter than that of the control group[(8.52±1.24)d vs.(9.37±2.05)d;t=2.244,P=0.028].No significant difference was observed in the incidence rate of perioperative complications between the two groups(χ^(2)=0.139,P=0.709).The VAS scores at 1,3 and 5 d after operation in the observation group were significantly lower than those in the control group(P<0.05).The subscale scores of necessary belief dimension in BMQ at 5 d after operation in the observation group were significantly higher than those in the control group,and the subscale scores of concern belief dimension were significantly lower than those in the control group(P<0.05);the MMAS-8 scores at 5 d after operation in the observation group were significantly higher than those in the control group(P<0.05).The subscale scores of anxiety and depression of HADS in the observation group were significantly lower than those in the control group at 5 d after operation(P<0.05).The ODI at 5 d after operation in the observation group was significantly lower than that in the control group(P<0.05).Conclusion MDT-based fast-track nursing intervention in the perioperative period of patients with brucellosis spondylitis is helpful in shortening the length of hospital stay,promoting pain management,enhancing patients'medication beliefs,improving patients'psychological status,increasing treatment compliance,and accelerating the recovery of spinal function.
作者
李蕊
张瑛
杨新明
Li Rui;Zhang Ying;Yang Xinming(Department of Orthopaedics,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China)
出处
《保健医学研究与实践》
2023年第9期123-128,共6页
Health Medicine Research and Practice
基金
河北省2020年度医学科学研究课题计划项目(20200504)
河北省张家口市2021年市级科技计划自筹项目(2121058D)。
