一体化护理应用于椎间孔镜下髓核摘除术患者的效果分析(1)
【摘要】 目的：探讨一体化护理对行椎间孔镜下髓核摘除术患者负性情绪和疼痛程度的影响。方法：将笔者所在医院骨科2018年10月-2019年3月收治的腰椎间盘突出症患者52例，用随机数字表法分为对照组(n=26)和观察组(n=26)，对照组给予常规护理流程干预;观察组给予一体化护理流程干预，比较两组干预前后的护理效果、负性情绪评分(SAS评分和SDS评分)、生活质量评分、VAS评分及护理满意度。结果：观察组护理总有效(92.31%)比对照组(69.23%)高(P<0.05);干预前两组SAS评分、SDS评分、VAS评分和生活质量各项评分对比差异无统计学意义(P>0.05);干预后两组SAS评分、SDS评分和VAS评分均较干预前降低(P<0.05)，且观察组评分更低(P<0.05);干预后两组生活质量评分较干预前升高(P<0.05)，且观察组评分更高(P<0.05)。结论：对行椎间孔镜下髓核摘除术患者住院期间采用一体化护理干预，可改善患者负性情绪和生活质量，减轻疼痛感受，有推广应用价值。
【关键词】 一体化护理 负性情绪评分 生活质量评分 疼痛程度评分
doi：10.14033/j.cnki.cfmr.2020.02.036 文献标识码 B 文章编号 1674-6805(2020)02-00-03
[Abstract] Objective： To explore the influence of integrated nursing on the negative emotion and pain degree of patients undergoing nucleus pulposus removal under intervertebral foramen. Method： A total of 52 patients with lumbar disc herniation admitted to our Orthopaedic Department from October 2018 to March 2019 were randomly divided into the control group (n=26) and the observation group (n=26) by random number table method， and the control group was given routine nursing intervention; the observation group was given integrated nursing intervention， and the nursing effect and negative emotional score (SAS score and SDS score)， quality of life score， VAS score before and after the intervention and nursing satisfaction were compared. Result： The nursing effect of the observation group (92.31%) was higher than that of the control group (69.23%)， the difference was significant (P<0.05). There were no difference in SAS score， SDS score， VAS score and quality of life scores between the two groups before intervention (P>0.05). After intervention， SAS score， SDS score and VAS score of the two groups were lower than those before the intervention (P<0.05)， and the score of the observation group was lower (P<0.05). After intervention， the quality of life score of the two groups was higher than those before intervention (P<0.05). The score of the observation group was higher (P<0.05). Conclusion： The integrated nursing intervention can improve the negative emotion and quality of life， reduce the pain of patients during the period of hospitalization.
[Key words] Integrated nursing Negative emotion score Quality of life score Pain degree score
First-author’s address： Zhuhai People’s Hospital， Zhuhai 519000， China
随人们生活工作方式的改变，腰椎间盘突出发病率逐年升高，主要是因为发生退行性变的椎间盘受外力作用后引起纤维环破裂，导致马尾神经和脊柱神经受到压迫，而出现下肢麻木、疼痛等症状，影响了患者的日常生活[1]。微创手术是现今常用治疗方法之一，有效的临床护理模式干预可提高患者的手术治疗效果和术后恢复进程[2]，是目前临床关注的热点。传统的护理流程虽然也可很好地干预患者整个治疗过程，但忽视了患者日常生活质量的下降和心理狀态的变化，导致患者产生了焦虑、抑郁等多种负面情绪，影响了患者治疗效果，延长了恢复期。而一体化护理流程在日常护理的基础上，更加注重干预患者心理状态，减轻患者的负性情绪，加强患者日常生活能力的锻炼，提高了生活质量[3]。本研究主要是观察一体化护理对行椎间孔镜下髓核摘除术患者负性情绪和疼痛程度的影响，现汇报如下。, 百拇医药(李嘉仪 孔碧霞 朱海霞 张爱连)
【关键词】 一体化护理 负性情绪评分 生活质量评分 疼痛程度评分
doi：10.14033/j.cnki.cfmr.2020.02.036 文献标识码 B 文章编号 1674-6805(2020)02-00-03
[Abstract] Objective： To explore the influence of integrated nursing on the negative emotion and pain degree of patients undergoing nucleus pulposus removal under intervertebral foramen. Method： A total of 52 patients with lumbar disc herniation admitted to our Orthopaedic Department from October 2018 to March 2019 were randomly divided into the control group (n=26) and the observation group (n=26) by random number table method， and the control group was given routine nursing intervention; the observation group was given integrated nursing intervention， and the nursing effect and negative emotional score (SAS score and SDS score)， quality of life score， VAS score before and after the intervention and nursing satisfaction were compared. Result： The nursing effect of the observation group (92.31%) was higher than that of the control group (69.23%)， the difference was significant (P<0.05). There were no difference in SAS score， SDS score， VAS score and quality of life scores between the two groups before intervention (P>0.05). After intervention， SAS score， SDS score and VAS score of the two groups were lower than those before the intervention (P<0.05)， and the score of the observation group was lower (P<0.05). After intervention， the quality of life score of the two groups was higher than those before intervention (P<0.05). The score of the observation group was higher (P<0.05). Conclusion： The integrated nursing intervention can improve the negative emotion and quality of life， reduce the pain of patients during the period of hospitalization.
[Key words] Integrated nursing Negative emotion score Quality of life score Pain degree score
First-author’s address： Zhuhai People’s Hospital， Zhuhai 519000， China
随人们生活工作方式的改变，腰椎间盘突出发病率逐年升高，主要是因为发生退行性变的椎间盘受外力作用后引起纤维环破裂，导致马尾神经和脊柱神经受到压迫，而出现下肢麻木、疼痛等症状，影响了患者的日常生活[1]。微创手术是现今常用治疗方法之一，有效的临床护理模式干预可提高患者的手术治疗效果和术后恢复进程[2]，是目前临床关注的热点。传统的护理流程虽然也可很好地干预患者整个治疗过程，但忽视了患者日常生活质量的下降和心理狀态的变化，导致患者产生了焦虑、抑郁等多种负面情绪，影响了患者治疗效果，延长了恢复期。而一体化护理流程在日常护理的基础上，更加注重干预患者心理状态，减轻患者的负性情绪，加强患者日常生活能力的锻炼，提高了生活质量[3]。本研究主要是观察一体化护理对行椎间孔镜下髓核摘除术患者负性情绪和疼痛程度的影响，现汇报如下。, 百拇医药(李嘉仪 孔碧霞 朱海霞 张爱连)