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

Abstract

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

CLC Number:

R681.5

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.

Figures/Tables 5

References 35

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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

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

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