Li Qiao-Ping, Li Jing, Pan Hong-Ying
Department of Spine Surgery, Lishui Central Hospital, Lishui, People's Republic of China.
Department of Nursing, Lishui Central Hospital, Lishui, People's Republic of China.
Risk Manag Healthc Policy. 2021 Apr 23;14:1703-1709. doi: 10.2147/RMHP.S301874. eCollection 2021.
This study aims to explore the effects of an online home nursing care model application on patients with traumatic spinal cord injury (TSCI).
Eighty patients with TSCI discharged from the hospital between January 2015 and January 2018 were included in the study. The patients were randomly divided into two groups: the control group and the observation group (n = 40, each). The patients in the control group were given routine discharge guidance, while the patients in the observation group were given online home nursing care. The Oswestry Disability Index (ODI), Medical Outcomes Study 36-item short-form health survey (MOS SF-36), and complication-incidence rate were used to evaluate the efficiency of the online home nursing care model.
There were no differences in the ODI and MOS SF-36 scores between the two groups at discharge. However, the ODI and MOS SF-36 scores in the observation group showed significant improvement compared with the control group (p < 0.05) during the most recent follow-up. The incidence of complications, such as constipation, joint stiffness, muscle atrophy, foot drop, and pressure sores, were significantly lower in the observation group than in the control group (p < 0.05).
The online home nursing care model can reduce complication incidence, alleviate dysfunction, and improve the quality of life of patients with TSCI.
本研究旨在探讨在线居家护理模式应用于创伤性脊髓损伤（TSCI）患者的效果。
纳入2015年1月至2018年1月间出院的80例TSCI患者。将患者随机分为两组：对照组和观察组（每组n = 40）。对照组患者给予常规出院指导，观察组患者给予在线居家护理。采用奥斯威斯利功能障碍指数（ODI）、医学结局研究简明健康调查36项量表（MOS SF - 36）和并发症发生率来评估在线居家护理模式的效果。
出院时两组患者的ODI和MOS SF - 36评分无差异。然而，在最近一次随访期间，观察组的ODI和MOS SF - 36评分与对照组相比有显著改善（p < 0.05）。观察组便秘、关节僵硬、肌肉萎缩、足下垂和压疮等并发症的发生率明显低于对照组（p < 0.05）。
在线居家护理模式可降低TSCI患者的并发症发生率，减轻功能障碍，提高生活质量。
