摘要
目的:检索、总结椎体压缩性骨折患者术后运动康复的证据,制定审查指标,实施并评价其临床应用效果。方法:以基于证据的持续质量改善模型为研究框架,于2022年12月至2023年3月通过证据获取、现状审查、证据引入,构建椎体压缩性骨折患者术后运动康复的循证方案;便利选取2023年3月—8月在青岛市某三级甲等医院脊柱外科行手术治疗的椎体压缩性骨折患者59名及科室护士20名为研究对象,比较应用运动康复循证实践证据前后2组患者的满意度、生存质量和功能障碍指数得分,同时比较循证实践证据应用前后运动康复相关审查指标的执行率及护士运动康复知识水平变化。结果:证据应用后,循证实践组患者满意度、生存质量得到提升(P<0.001)、功能障碍指数下降(P<0.001)、运动康复相关审查指标的执行率和护士康复知识水平得分均较应用前提高(t=-15.873,P<0.001),差异具有统计学意义(P<0.05)。结论:基于证据的椎体压缩性骨折患者术后运动康复方案临床应用切实可行,有效促进了护士专业知识的提升以及临床管理行为的落实,同时对于提高椎体压缩性骨折患者满意度、改善术后生存质量、降低功能障碍程度具有重要意义。
Objective:To retrieve and summarize the best evidence of postoperative exercise rehabilitation for patients with vertebral compression fracture,to formulate evaluation indicators,and to implement and evaluate its clinical application effects.Methods:Based on the evidence-based continuous quality improvement model,from December 2022 to March 2023,through evidence acquisition,current situation review and evidence introduction,an evidence-based scheme for postoperative exercise rehabilitation of patients with vertebral compression fracture was constructed.By means of convenient sampling,59 patients diagnosed with vertebral compression fracture receiving surgery in the spinal surgery department of a tertiary A hospital in Qingdao from March to August,2023 and 20 nurses as the research objects.Indicators relating to patients including the satisfaction,quality of life and dysfunction index scores of the two groups before and after the intervention of evidence-based practice program of sports rehabilitation.Meanwhile,the implementation rate of sports rehabilitation related review indicators and the changes of nurses'knowledge of sports rehabilitation before and after the evidence-based practice were also compared and analyzed.Results:After the application of evidence,the patients'satisfaction and quality of life in the evidence-based practice group were improved(P<0.001),while the dysfunction index was decreased(P<0.001).Besides,both the implementation rate of examination indexes related to sports rehabilitation and the scores of nurses'rehabilitation knowledge increased(t=-15.873,P<0.001),and the differences were statistically significant(P<0.05).Conclusion:The clinical application of evidence-based exercise rehabilitation program for patients with vertebral compression fracture is feasible,which can not only effectively boost the promotion of nurses'professional knowledge but also the implementation of clinical management behavior.Moreover,it is of great significance to improve patients'satisfaction,life quality after operation and reduce their degree of dysfunction.
作者
汤迟
周丹
周鑫宇
历建伟
时汝梦
张亚楠
徐晓波
祝凯
TANG Chi;ZHOU Dan;ZHOU Xinyu;LI Jianwei;SHI Rumeng;ZHANG Yanan;XU Xiaobo;ZHU Kai(Spine Surgery,Affiliated Hospital of Qingdao University,Qingdao,Shandong province,266003,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第9期1383-1390,共8页
Chinese Nursing Management
基金
2023年度山东省医药卫生科技项目(202314021671)。
关键词
椎体压缩性骨折
运动康复
证据总结
循证实践
vertebral compression fracture
sports rehabilitation
summary of evidence
evidence-based practice
