Yue Han'e, Liu Xianli
Department of Social Services, Wuhan Fourth Hospital Wuhan, Hubei Province, China.
Department of Spine Surgery, Wuhan Fourth Hospital Wuhan, Hubei Province, China.
Am J Transl Res. 2021 May 15;13(5):5183-5191. eCollection 2021.
To explore the effect of timeliness incentive nursing on postoperative rehabilitation of patients with cervical spondylotic myelopathy (CSM).
a total of 104 CSM patients treated in our hospital were recruited, who were evenly divided into two groups according to a random number table method. The control group was given routine nursing, and the research group was given timeliness incentive nursing based on routine nursing. The out-of-bed activity time after surgery, the length of hospital stay, the visual analog scale (VAS) scores before and after intervention, the Japanese Orthopedic Association (JOA) scores, the cervical spine range of motion (ROM), changes of quality of life (QOL), complications, and nursing satisfaction were compared between the two groups.
After intervention, the out-of-bed activity time and length of hospital stay in the research group were significantly shorter than those of the control group (P<0.001). Compared with before intervention, VAS scores were significantly decreased, while JOA scores and ROM were both considerably increased after intervention in both groups (P<0.001). Of note, the improvement in the research group was more significant compared with the control group. The incidence of complications of the research group was remarkably lower than that of the control group (P<0.05). Compared with before intervention, physiological functions, physiological and emotional responsibilities, social function, mental health, energy, and overall health scores were all significantly increased after intervention in both groups, whereas the physical pain was significantly decreased (P<0.001), and these measures of the research group were higher than those of the control group. The nursing satisfaction in the research group was notably higher than that of the control group (P<0.05).
Timeliness incentive nursing can effectively improve postoperative rehabilitation of patients with CSM, reduce the pain, decrease the incidence of complications, improve the QOL, and increase nursing satisfaction.
探讨时效性激励护理对脊髓型颈椎病（CSM）患者术后康复的影响。
选取我院收治的104例CSM患者，采用随机数字表法将其均分为两组。对照组给予常规护理，研究组在常规护理的基础上给予时效性激励护理。比较两组患者术后下床活动时间、住院时间、干预前后视觉模拟评分（VAS）、日本骨科协会（JOA）评分、颈椎活动度（ROM）、生活质量（QOL）变化、并发症及护理满意度。
干预后，研究组患者的下床活动时间和住院时间均显著短于对照组（P<0.001）。两组干预后VAS评分均较干预前显著降低，JOA评分和ROM均显著升高（P<0.001）。值得注意的是，研究组的改善情况较对照组更为显著。研究组并发症发生率显著低于对照组（P<0.05）。两组干预后生理功能、生理与情感责任、社会功能、心理健康、精力及总体健康评分均较干预前显著升高，而身体疼痛显著降低（P<0.001），且研究组这些指标均高于对照组。研究组护理满意度显著高于对照组（P<0.05）。
时效性激励护理可有效改善CSM患者术后康复情况，减轻疼痛，降低并发症发生率，提高生活质量，并提高护理满意度。
