摘要
目的:观察多学科协作的快速康复外科理念(FTS)护理在老年腰椎间盘突出症(LDH)患者中的应用效果。方法:选取2020年6月至2022年6月该院收治的78例老年LDH患者进行前瞻性研究,采用随机数字表法将其分为观察组与对照组各39例。对照组采用常规护理,观察组采用多学科协作的FTS护理。比较两组围术期指标水平,护理前后疼痛程度[视觉模拟评分法(VAS)]评分、腰椎功能[日本骨科协会评估治疗(JOA)]评分和生命质量[简明健康调查量表(SF-36)]评分。结果:术后48 h,两组VAS评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组首次进食时间、首次肛门排气时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组临床体征、主观症状、日常活动受限度、膀胱功能等JOA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);两组生理机能、情感职能、躯体疼痛、精力、社会功能、精神健康、生理职能、一般健康状况等SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:多学科协作的FTS护理应用于老年LDH患者可提高腰椎功能和生命质量评分,降低VAS评分、围术期指标水平和并发症发生率,其效果优于常规护理。
Objective:To observe application effects of multidisciplinary collaborative fast track surgery(FTS)nursing in elderly patients with lumbar disc herniation(LDH).Methods:A prospective study was conducted on 78 elderly patients with LDH admitted to the hospital from June 2020 to June 2022.They were divided into observation group and control group by random number table method,39 cases in each group.The control group was treated with routine nursing,while the observation group was treated with multidisciplinary collaborative FTS nursing.The pain degree[visual analogue scale(VAS)]score,the perioperative index levels,the lumbar function[Japanese Orthopaedic Association(JOA)]score,and the quality of life[the MOS 36-item short form health survey(SF-36)]score were compared between the two groups before and after the nursing.Results:At 48 h after the surgery,the VAS scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The first feeding time,the first anal exhaust time,the first outof-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the JOA scores of clinical signs,subjective symptoms,limitation of daily activities and bladder function in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Further,the SF-36 scores of physiological function,emotional function,physical pain,vitality,social function,mental health,physiological role and general health status in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative FTS nursing in the elderly patients with LDH can improve the lumbar function scores and the quality of life scores,and reduce the VAS scores,the perioperative index levels and the incidence of complications.Moreover,it is superior to the routine nursing.
作者
喻静
惠丹
熊小辉
YU Jing;HUI Dan;XIONG Xiaohui(Department of Pain of Nanyang Central Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2024年第3期164-167,共4页
Medical Journal of Chinese People’s Health
关键词
腰椎间盘突出症
多学科协作
快速康复外科理念护理
疼痛
腰椎功能
并发症
Lumbar disc herniation
Multidisciplinary collaboration
Fast track surgery concept nursing
Pain
Lumbar function
Complication
