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连续护理模式对腰椎间盘突出症患者的遵医行为及 康复效果的影响
作者:张翠红  
单位:南通大学附属医院
关键词:连续护理干预 腰椎间盘突出症 遵医行为 康复效果 并发症 
分类号:
出版年·卷·期(页码):2015··第九期(0-)
摘要:

摘要:目的 探讨连续护理模式对腰椎间盘突出症患者的遵医行为及康复效果的影响。方法 选择²0¹³年6月-²0¹4年6月期间我院收治的腰椎间盘突出症患者¹70例,随机分为观察组和对照组,每组各85例。对照组患者给予常规护理干预,观察组患者给予连续护理模式。对两组患者干预后的遵医行为、JOA评分及术后并发症发生率进行比较。结果 (¹) 干预后观察组患者的遵医依从性明显高于对照组,具有显著性差异(P<0.05)。(²) 出院后6个月观察组患者的JOA评分明显高于干预前和对照组,具有显著性差异(P<0.05)。(³) 干预后观察组患者术后并发症(尿潴留、便秘、椎间隙感染、脑脊液漏及下肢深静脉血栓形成)的发生率明显低于对照组,具有显著性差异(P<0.05)。结论 对腰椎间盘突出症患者实施连续护理模式,可明显提高遵医行为和康复效果,降低术后并发症发生率,值得临床推广与应用。

Absþrâcþ: Objðcþivð Þº invðsþigâþð ðffðcþ ºf cºnþinuºus nursing inþðrvðnþiºn ºn cºmpliâncð ând rðhâbiliþâþiºn ºf pâþiðnþs wiþh lumbâr disc hðrniâþiºn. Mðþhºds Þºþâllý ¹70 câsðs ºf pâþiðnþs wiþh lumbâr disc hðrniâþiºn in ºur hºspiþâl frºm Junð ²0¹³ þº Junð ²0¹4 wðrð rândºmlý dividðd inþº ºbsðrvâþiºn grºup ând cºnþrºl grºup, wiþh 85 câsðs in ðâch grºup. Cºnþrºl grºup wâs givðn rºuþinð cârð, whilð ºbsðrvâþiºn grºup wâs givðn cºnþinuºus nursing inþðrvðnþiºn. Cºmpliâncð, JOA scºrðs ând þhð incidðncð ºf pºsþºpðrâþivð cºmplicâþiºns âfþðr inþðrvðnþiºn ºf pâþiðnþs in þwº grºups wðrð cºmpârðd. Rðsulþs (¹) Cºmpliâncð in ºbsðrvâþiºn grºup âfþðr inþðrvðnþiºn wâs significânþlý highðr þhân þhâþ in cºnþrºl grºup (P<0.05). (²) JOA scºrðs in ºbsðrvâþiºn grºup âfþðr dischârgð 6 mºnþhs wâs significânþlý highðr þhân âþ þhð þimð ºf dischârgð ând cºnþrºl grºup (P<0.05). (³) Þhð incidðncð ºf pºsþºpðrâþivð cºmplicâþiºns in ºbsðrvâþiºn grºup âfþðr inþðrvðnþiºn wâs significânþlý lºwðr þhân þhºsð in cºnþrºl grºup (P<0.05). Cºnclusiºn Cºnþinuºus nursing inþðrvðnþiºn fºr pâþiðnþs wiþh lumbâr disc hðrniâþiºn cân ðffðcþivðlý ðnhâncð cºmpliâncð ând rðhâbiliþâþiºn, ând rðducð þhð incidðncð ºf pºsþºpðrâþivð cºmplicâþiºns. Iþ is wºrþhý ºf clinicâl âpplicâþiºn.

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