路径式多途径健康宣教用于脊柱骨折术后护理体会
Nursing experience of the application of multi-approach health education in postoperative patients with spinal fractures
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摘要: 目的：探讨路径式多途径健康宣教在脊柱骨折术后护理中的应用价值。方法：选取脊柱骨折病人84例作为研究对象，随机分为观察组与对照组，各42例。2组均采取经后路脊柱椎弓根系统复位固定联合脊柱融合术。术后观察组予以路径式多途径健康宣教，对照组予以常规健康宣教。比较2组术后并发症总发生率、首次功能锻炼时间、住院时间、自我护理技能达标率以及出院时、出院1个月、3个月的脊髓独立功能评分。结果：观察组术后并发症总发生率为9.52%，低于对照组的26.19%（P<0.05）。观察组住院时间、首次功能锻炼时间均明显短于对照组（P<0.01）。观察组各项自我护理技能达标率均高于对照组（P<0.05）。观察组出院时、出院1个月、3个月时的脊髓独立功能评分均高于低于对照组（P<0.05~P<0.01）。结论：脊柱骨折病人术后采取路径式多途径健康宣教可减少并发症，促进病人早期功能锻炼并提高出院后的自我护理能力，促进脊柱功能的更佳恢复。Abstract: Objective:To explore the application value of multi-approach health education in postoperative patients with spinal fractures.Methods:Eighty-four patients with spinal fractures were randomly divided into the observation group and control group(42 cases each group).Two groups were treated with posterior transpedicular system reduction and fixation combined with spinal fusion.After surgery,the multi-approach health education and routine health education were implemented in observation group and control group,respectively.The total incidence rate of postoperative complications,time of initial functional exercise,length of hospital stay,compliance rate of self-care skills,and spinal cord independent function scores at discharge,after 1 month and 3 months of discharge between two groups were compared.Results:The total incidence rate of complications in observation group(9.52%) was lower than that in control group(26.19%) (P<0.05).The length of hospital stay and time of initial functional exercise in observation group were significantly shorter than those in control group(P<0.01).The compliance rate of self-care skills in observation group was higher than that in control group(P<0.05).At discharge,after 1 month and 3 months of discharge,the scores of the spinal cord independent function in observation group were higher than those in control group(P<0.05 to P<0.01).Conclusions:The application of multi-approach health education in patients with spinal fractures after surgery can reduce the complications,promote early functional exercise,improve the self-care abilities of patients after discharge,and promote the recovery of spinal function.
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Key words:
- spinal fracture /
- health education /
- functional exercise
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