基于医护一体化的快速康复方案在 腰椎后路内固定术患者围术期中的应用
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1.天津医科大学护理学院;2.天津医科大学总医院

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Application of integrated rapid rehabilitation model in perioperative patients with lumbar posterior fixation
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General Hospital of Tianjin Medical University

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    摘要:

    目的 探讨基于医护一体化的快速康复方案对腰椎后路内固定术患者围术期功能康复的影响。方法 2021年1月到2021年6月间在天津市某三级甲等医院骨外科收集符合纳排标准的腰椎后路内固定术患者60例,随机分为对照组与干预组各30例,对照组采取常规围术期康复方式,干预组采用基于医护一体化的快速康复方案进行干预。运用视觉疼痛模拟评分法(VAS)评估患者疼痛情况,采用Oswestry功能障碍指数问卷表(ODI)、日本骨科协会评估治疗分数量表(JOA)及医院焦虑抑郁量表(HADS)在患者术前和术后一周评测两组患者的腰椎功能状况和心理健康状况。结果 两组患者在术后一周时疼痛情况明显改善;术前两组患者JOA评分、ODI评分及焦虑抑郁评分间比较差异均无统计学差异(P>0.05);术后一周,干预组患者JOA评分和ODI评分高于对照组,焦虑抑郁得分明显低于对照组(P<0.05)。结论 基于医护一体化的快速康复方案能够帮助腰椎后路内固定术的患者在围术期加快腰椎功能的恢复,缓解焦虑抑郁情绪,减少住院时间,减轻经济负担,实现早日康复。

    Abstract:

    Objective To investigate the effect of medical integrated rapid rehabilitation model on perioperative functional rehabilitation in patients with lumbar posterior internal fixation.Methods From January 2021 to June 2021,60 patients with lumbar posterior fixation were collected in January 2021, randomly divided into control group and intervention group with conventional perioperative rehabilitation, and the intervention group adopted medical integrated rapid rehabilitation model. Pain was assessed using visual analogue scale (VAS).The lumbar function and mental health of the patients were evaluated before and after surgery using the Oswestry Disfunction Index questionnaire (ODI), the Japanese Orthopaedic Association Assessment Treatment Sub-Number Scale (JOA) and the Hospital Anxiety and Depression Scale (one week after HADS).Results There were no statistical differences between preoperative JOA scores, ODI scores, and anxiety and depression scores (P>0.05); the intervention group had higher JOA scores and ODI scores than the control group, and the anxiety and depression scores were significantly lower than the control group (P<0.05).Conclusion The integrated rapid rehabilitation model can help patients with lumbar posterior fixation to accelerate the recovery of lumbar function, relieve anxiety and depression, reduce hospital stay, reduce economic burden, and realize early recovery.

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  • 收稿日期:2021-12-11
  • 最后修改日期:2021-12-21
  • 录用日期:2022-03-09
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