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麻醉护理一体化联合预防性护理对老年腰椎间盘突出症患者围手术期护理效果分析

Analysis of the Nursing Effect of Anesthesia Care Integration Combined with Preventive Nursing on Older Patients with Lumbar Disc Herniation During the Perioperative Period.

作者信息

Liu Honghong, Li Peng, Yu Dan, Ma Zhongxi, An Yu, Li Si, Cai Lin

机构信息

Department of Anesthesiology, Wuhan Fourth Hospital, Wuhan, 430033, People's Republic of China.

Department of Spine Surgery, Wuhan Fourth Hospital, Wuhan, 430033, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2023 Jun 9;16:1001-1009. doi: 10.2147/RMHP.S411885. eCollection 2023.

Abstract

OBJECTIVE

This study explored the nursing effect of anesthesia care integration combined with preventive nursing on older patients with perioperative lumbar disc herniation (LDH).

METHODS

Clinical data of 100 older patients with LDH who were admitted to our hospital between May 2017 and May 2022 were used, and there were no patients who had not had surgery between January and May 2020 because of the COVID-19 pandemic. Based on the different nursing methods, the patients were divided into control and observation groups, with 50 cases each. The control group received anesthesia care integration, whereas the observation group received anesthesia care integration combined with preventive nursing. Lumbar spine function, pain score, anesthesia recovery assessment, and nursing effects were compared between the two groups.

RESULTS

The scores of the anesthesia recovery assessment of the two groups were compared, and the vital signs of the observation group during recovery from anesthesia were significantly better than those of the control group (<0.05). After nursing care, the Japanese Orthopaedic Association (JOA) score of the observation group was significantly higher than that of the control group; however, the numerical scale (NRS) score of the observation group was significantly lower than that of the control group (<0.05). After nursing care, the physical comfort, emotional state, psychological support, self-care ability, and pain scores were higher in the observation group than in the control group; however, the NRS score of the observation group was significantly lower than that of the control group (<0.05).

CONCLUSION

Anesthesia care integration combined with preventive nursing has a positive effect on older patients with perioperative LDH, and it significantly improves lumbar spine function, reduces pain, shortens recovery time, and benefits physical and mental health.

摘要

目的

本研究探讨麻醉护理一体化联合预防性护理对老年腰椎间盘突出症(LDH)患者围手术期的护理效果。

方法

选取2017年5月至2022年5月我院收治的100例老年LDH患者的临床资料,其中2020年1月至5月期间因新型冠状病毒肺炎疫情无未进行手术的患者。根据护理方法不同,将患者分为对照组和观察组,每组50例。对照组接受麻醉护理一体化,观察组接受麻醉护理一体化联合预防性护理。比较两组患者的腰椎功能、疼痛评分、麻醉恢复评估及护理效果。

结果

比较两组患者的麻醉恢复评估得分,观察组麻醉恢复期间的生命体征明显优于对照组(<0.05)。护理后,观察组的日本骨科协会(JOA)评分明显高于对照组;然而,观察组的数字评分量表(NRS)评分明显低于对照组(<0.05)。护理后,观察组的身体舒适度、情绪状态、心理支持、自我护理能力及疼痛评分均高于对照组;然而,观察组的NRS评分明显低于对照组(<0.05)。

结论

麻醉护理一体化联合预防性护理对老年围手术期LDH患者有积极作用,可显著改善腰椎功能,减轻疼痛,缩短恢复时间,有利于身心健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3e3/10263014/06232dbc966c/RMHP-16-1001-g0001.jpg

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