护理干预对腰椎手术后患者康复结局的影响。
The impact of nursing interventions on the rehabilitation outcome of patients after lumbar spine surgery.
机构信息
Department of Orthopaedic Surgery, Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, No. 99, Longcheng Street, Taiyuan city, Shanxi Province , 030032, China.
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
出版信息
BMC Musculoskelet Disord. 2024 May 4;25(1):354. doi: 10.1186/s12891-024-07419-9.
BACKGROUND
This study aimed to investigate the impact of nursing interventions on the rehabilitation outcomes of patients after lumbar spine surgery and to provide effective references for future postoperative care for patients undergoing lumbar spine surgery.
METHODS
The study included two groups: a control group receiving routine care and an observation group receiving additional comprehensive nursing care. The comprehensive care encompassed postoperative rehabilitation, pain, psychological, dietary management, and discharge planning. The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Short-Form 36 (SF-36) Health Survey, self-rating depression scale (SDS) and self-rating anxiety scale(SAS) were used to assess physiological and psychological recovery. Blood albumin, haemoglobin, neutrophil counts, white blood cell counts, red blood cell counts, inflammatory markers (IL-6, IL-10, and IFN-γ) were measured, and the incidence of postoperative adverse reactions was also recorded.
RESULTS
Patients in the observation group exhibited significantly improved VAS, ODI, SF-36, SDS and SAS scores assessments post-intervention compared to the control group (P < 0.05). Moreover, levels of IL-6, IL-10, and IFN-γ were more favorable in the observation group post-intervention (P < 0.05), indicating a reduction in inflammatory response. There was no significant difference in the incidence of postoperative adverse reactions between the groups (P > 0.05), suggesting that the comprehensive nursing interventions did not increase the risk of adverse effects.
CONCLUSION
Comprehensive nursing interventions have a significant impact on the postoperative recovery outcomes of patients with LSS, alleviating pain, reducing inflammation levels, and improving the overall quality of patient recovery without increasing the patient burden. Therefore, in clinical practice, it is important to focus on comprehensive nursing interventions for patients with LSS to improve their recovery outcomes and quality of life.
背景
本研究旨在探讨护理干预对腰椎后路手术患者康复效果的影响，为腰椎后路手术患者的术后护理提供有效参考。
方法
研究对象分为对照组（常规护理）和观察组（综合护理）。综合护理内容包括术后康复、疼痛、心理、饮食管理、出院计划等方面。采用视觉模拟评分法（VAS）、Oswestry 功能障碍指数（ODI）、健康调查简表 36（SF-36）、抑郁自评量表（SDS）和焦虑自评量表（SAS）评估生理和心理恢复情况。检测血白蛋白、血红蛋白、中性粒细胞计数、白细胞计数、红细胞计数、炎症标志物（IL-6、IL-10、IFN-γ），记录术后不良反应发生情况。
结果
观察组患者 VAS、ODI、SF-36、SDS 和 SAS 评分改善情况明显优于对照组（P<0.05）。观察组干预后 IL-6、IL-10、IFN-γ 水平更优（P<0.05），提示炎症反应减轻。两组术后不良反应发生率无显著差异（P>0.05），提示综合护理干预并未增加不良反应风险。
结论
综合护理干预对腰椎后路手术患者术后康复效果具有显著影响，能减轻疼痛、降低炎症水平、提高患者整体康复质量，且不会增加患者负担。因此，在临床实践中，关注腰椎后路手术患者的综合护理干预对提高其康复效果和生活质量至关重要。
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