互联网+延续性康复护理对腰椎融合术后老年患者的效果

doi:10.3969/j.issn.1006-9771.2022.07.020

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (7): 863-868.doi: 10.3969/j.issn.1006-9771.2022.07.020

• 康复护理 • 上一篇

互联网+延续性康复护理对腰椎融合术后老年患者的效果

梁婷,曹代桂(),孙顺霞,丁永清,吴彩娥,张胜利,杨阜滨,沈凯

重庆市人民医院骨科,重庆市 401147

收稿日期:2022-02-14 修回日期:2022-04-06 出版日期:2022-07-25 发布日期:2022-08-08
通讯作者: 曹代桂 E-mail:cao0709@126.com
作者简介:梁婷(1984-),女,汉族,重庆市人,主管护师,主要研究方向：骨科康复护理及物理治疗。|曹代桂(1989-),男,汉族,重庆市人,博士、博士后,主治医师,主要研究方向：脊柱退变性疾病手术及康复治疗。
基金资助:
重庆市自然科学基金项目(cstc2021jcyj-msxmX1040);重庆市渝中区科技计划项目(20160126);重庆市渝中区科技计划项目(20180147)

Effects of internet plus continuous rehabilitation nursing on older patients after lumbar fusion

LIANG Ting,CAO Daigui(),SUN Shunxia,DING Yongqing,WU Cai'e,ZHANG Shengli,YANG Fubin,SHEN Kai

Department of Orthopedics, Chongqing General Hospital, Chongqing 401147, China

Received:2022-02-14 Revised:2022-04-06 Published:2022-07-25 Online:2022-08-08
Contact: CAO Daigui E-mail:cao0709@126.com
Supported by:
Chongqing Natural Science Foundation(cstc2021jcyj-msxmX1040);Chongqing Yuzhong District Science and Technology Found(20160126);Chongqing Yuzhong District Science and Technology Found(20180147)

摘要/Abstract

摘要：

目的探讨互联网+延续性康复护理与传统延续性康复护理对老年腰椎融合术后康复作用的效果。

方法回顾性分析2018年1月至2021年8月重庆市人民医院骨科后路椎间孔椎体间融合术后老年患者157例,66例出院后予传统延续性康复护理指导(对照组),91例出院后予互联网+延续性康复护理指导(干预组)。比较两组干预前、干预后1个月和3个月时疼痛视觉模拟量表(VAS)、Oswestry功能障碍指数(ODI)、华西心情指数量表(HEI)和成年人健康自我管理能力测评量表(AHSMSRS)评分。干预后3个月自制问卷调查遵医率和护理满意度,记录术后并发症。

结果最终148例患者完成3个月随访,其中对照组61例,干预组87例。两组干预后1个月和3个月VAS、ODI、HEI和AHSMSRS评分均显著优于干预前(F > 85.4, P < 0.001);干预组各项评分均显著优于对照组(|t| > 3.645, P < 0.001)。干预后3个月干预组遵医率和护理满意度均优于对照组(χ² > 5.478, P < 0.05)。两组均无手术相关并发症发生。

结论互联网+延续性康复护理能促进腰椎融合术后老年患者功能恢复,缓解疼痛和情绪,提高健康自我管理能力和遵医行为,提高护理满意度。

关键词: 腰椎融合术, 互联网+, 延续性护理, 康复

Abstract:

Objective To observe the effects of Internet plus continuous rehabilitation nursing on older patients after lumbar fusion.

Methods From January, 2018 to August, 2021, 157 older patients after transforaminal lumbar interbody fusion (TLIF) in Department of Orthopedics, Chongqing General Hospital were retrospectively studied. A total of 66 patients accepting routine continuous rehabilitation nursing care were as control group, and 91 patients accepting internet plus continuous rehabilitation nursing care were as intervention group. They were assessed with Visual Analog Scale for pain (VAS), Oswestry Disability Index (ODI), Huaxi Emotional-distress Index (HEI) and Adult Health Self-management Skill Rating Scale (AHSMSRS) before, and one and three months after intervention. The compliance and nursing satisfaction were investigated with self-made questionnaire three months after intervention, and the postoperative complications were recorded.

Results A total of 148 patients finished follow-up of three months, including 61 patients for the control group and 87 patients for the intervention group. The VAS, ODI, HEI and AHSMSRS scores improved in both groups one and three months after intervention (F > 85.4, P < 0.001), and improved more in the intervention group than in the control group (|t| > 3.645, P < 0.001). Both the compliance and nursing satisfaction were better in the intervention group than in the control group (χ² > 5.478, P < 0.05), and no postoperative complication was observed in both groups.

Conclusion Internet plus continuous rehabilitation nursing can promote the recovery of function, pain and psychological emotion, ability of self-management, compliance, and nursing satisfaction.

Key words: lumbar fusion, internet plus, continuous nursing care, rehabilitation

中图分类号:

R681.5

梁婷,曹代桂,孙顺霞,丁永清,吴彩娥,张胜利,杨阜滨,沈凯. 互联网+延续性康复护理对腰椎融合术后老年患者的效果[J]. 《中国康复理论与实践》, 2022, 28(7): 863-868.

LIANG Ting,CAO Daigui,SUN Shunxia,DING Yongqing,WU Cai'e,ZHANG Shengli,YANG Fubin,SHEN Kai. Effects of internet plus continuous rehabilitation nursing on older patients after lumbar fusion[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 863-868.

图/表 5

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项目	对照组(n = 61)	干预组(n = 87)	χ²/t值	P值
性别(男/女)/n	27/34	43/44	0.383	0.617
年龄/岁	65±4	66±4	-0.699	0.486
身高/m	1.64±0.06	1.63±0.06	0.736	0.463
体质量/kg	62±6	61±6	0.529	0.598
体质量指数/kg·m^-2	22.9±2.2	23.0±2.7	-0.126	0.900
骨密度(T分)	-1.8±0.8	-1.9±0.7	0.741	0.460
手术节段/n			1.572	0.456
L_3-4	2	7
L_4-5	24	30
L₅~S₁	35	50
手术时间/min	150±13	152±14	-0.761	0.448
术中出血量/mL	344±106	365±104	-1.163	0.247
伤口引流量/mL	262±68	279±75	-1.408	0.161
卧床时间/d	4±1	4±1	0.929	0.355
住院时间/d	12±3	12±2	-0.257	0.797

组别	n	干预前	干预后1个月	干预后3个月	F值	P值
对照组	61	4.3±0.7	3.6±0.6^a	2.3±0.7^a,b	141.898	< 0.001
干预组	87	4.2±0.7	2.8±0.8^a	1.8±0.7^a,b	222.875	< 0.001
t值		0.860	6.161	4.428
P值		0.391	< 0.001	< 0.001

组别	n	干预前	干预后1个月	干预后3个月	F值	P值
对照组	61	32.1±6.7	27.3±5.7^a	18.5±4.9^a,b	85.389	< 0.001
干预组	87	30.9±4.4	21.4±3.5^a	11.5±2.9^a,b	607.986	< 0.001
t值		1.397	7.802	10.791
P值		0.165	< 0.001	< 0.001

组别	n	干预前	干预后1个月	干预后3个月	F值	P值
对照组	61	7.4±0.6	6.5±0.8^a	5.1±0.7^a,b	162.699	< 0.001
干预组	87	7.4±0.8	6.0±0.9^a	4.5±0.8^a,b	270.552	< 0.001
t值		0.249	3.645	4.949
P值		0.804	< 0.001	< 0.001

组别	n	干预前	干预后1个月	干预后3个月	F值	P值
对照组	61	85±12	104±11^a	135±7^a,b	377.702	< 0.001
干预组	87	87±14	113±13^a	151±14^a,b	480.714	< 0.001
t值		-0.999	-4.048	-8.473
P值		0.320	< 0.001	< 0.001

互联网+延续性康复护理对腰椎融合术后老年患者的效果

Effects of internet plus continuous rehabilitation nursing on older patients after lumbar fusion

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