程序化管理模式在青少年脊柱侧弯护理中的应用价值
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摘要
目的探究分析程序化管理模式在青少年脊柱侧弯护理中的应用价值。方法选择2017年5月—2018年5月收治的青少年脊柱侧弯患者80例,采用双色球随机分组模式将之分为对照组与观察组各40例,对照组采用常规护理,观察组在此基础上加用程序化管理模式,比较两组干预后脊柱矫正情况、并发症发生率及护理满意度。结果观察组患者术后脊柱平均矫正角度较对照组明显更高,护理满意度评分也显著高于对照组(P <0. 05);观察组术后未发生并发症,较对照组术后12. 50%的并发症发生率明显更低(P <0. 05)。结论程序化管理模式应用于青少年脊柱侧弯围术期护理中能够提高脊柱恢复效果,也能使患者对护理更为满意,减少并发症发生,值得推广。
Objective To explore and analyze the application value of programmed management mode in adolescent scoliosis nursing. Methods 80 cases of adolescent scoliosis admitted to our hospital from May 2017 to May 2018 were selected and were randomly divided into control group and observation group,with 40 cases in each group. The control group was given routine nursing,and the observation group was given programmed management mode on the basis of routine nursing. The spinal correction,incidence of complications and nursing satisfaction were compared between the two groups after intervention. Results The average correction angle of spine in the observation group was significantly higher than that in the control group,and the nursing satisfaction score was significantly higher than that in the control group( P < 0. 05). No complications occurred in the observation group,and the incidence of complications was significantly lower than that in the control group( 12. 50%)( P < 0. 05).Conclusion The application of programmed management mode in perioperative nursing of adolescent scoliosis can improve the spinal recovery,reduce complications,and also make patients more satisfied with nursing,which is worthy of promotion.
Objective To explore and analyze the application value of programmed management mode in adolescent scoliosis nursing. Methods 80 cases of adolescent scoliosis admitted to our hospital from May 2017 to May 2018 were selected and were randomly divided into control group and observation group,with 40 cases in each group. The control group was given routine nursing,and the observation group was given programmed management mode on the basis of routine nursing. The spinal correction,incidence of complications and nursing satisfaction were compared between the two groups after intervention. Results The average correction angle of spine in the observation group was significantly higher than that in the control group,and the nursing satisfaction score was significantly higher than that in the control group( P < 0. 05). No complications occurred in the observation group,and the incidence of complications was significantly lower than that in the control group( 12. 50%)( P < 0. 05).Conclusion The application of programmed management mode in perioperative nursing of adolescent scoliosis can improve the spinal recovery,reduce complications,and also make patients more satisfied with nursing,which is worthy of promotion.
引文
[1]朱冬梅,李莉茵,张琳,等.青少年特发性脊柱侧弯患者的围手术期护理体会[J].颈腰痛杂志,2015,24(3):241-242,240.
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[3] YAGI M,PATEL R,BOACHIE-ADJEI O. Complications and Unfavorable Clinical Outcomes in Obese and Overweight Patients Treated for Adult Lumbar or Thoracolumbar Scoliosis With Combined Anterior/Posterior Surgery[J]. J Spinal Disord Tech,2015,28(6):E368-E376.
[4]蒋中艳,李昌燕,彭仕杉,等.青少年特发性脊柱侧弯矫形术28例围术期护理[J].齐鲁护理杂志,2015,24(12):84-86.
[5]任志兰,崔竹笑.脊柱侧弯矫正手术病人的护理及康复[J].护理研究,2015,12(9):1141-1142.
[6]殷莉,阿比旦·阿不力孜.罗森塔尔效应护理在脊柱侧弯手术患者中的应用价值[J].医学临床研究,2018,35(1):202-204.
[7] DI FELICE F,ZAINA F,DONZELLI S,et al. The Natural History of Idiopathic Scoliosis During Growth:A Meta-Analysis[J].Am J Phys Med Rehabil,2018,97(5):346-356.
[8]周平,汤玉萍.青少年脊柱侧弯后路矫形术术前及术后护理[J].医学信息,2015,24(18):101-102.
[9]安晓燕,顾则娟,王巧桂,等.医护一体化模式用于青少年脊柱侧弯手术的效果评价[J].中国临床医学,2017,24(2):277-280.
[10]何睿.前后路同期手术治疗脊柱侧弯患者的护理策略[J].当代医学,2015,34(17):101-102.
[11]张永梅.脊柱侧弯矫形手术围手术期护理[J].医学信息,2015,21(27):115-115.
[12] WEINSTEIN S L,DOLAN L A,WRIGHT J G,et al. Effects of bracing in adolescents with idiopathic scoliosis[J]. N Engl J Med,2013,369(16):1512-1521.
[13]武文亚,刘钕嫡,廖洁琼,等.青少年特发性脊柱侧弯经后路截骨矫形术围手术期护理[J].中国伤残医学,2018,26(7):73-75.
[14]靳凌云,时秋英.特发性脊柱侧弯的护理对策探讨[J].中国继续医学教育,2015,12(29):233-234.
[15]文海娟.青少年特发性脊柱侧弯畸形矫形术围术期护理干预效果观察[J].医学理论与实践,2018,31(17):2659-2660.
[16]王淑朋.对脊柱侧弯患者在其围手术期进行程序护理的效果分析[J].当代医药论丛,2015,31(8):90-91.
[17]季长高,张冉.青少年特发性脊柱侧弯患者术后生活质量和健康需求调查[J].齐鲁护理杂志,2018,24(4):72-74.
[18]金晶,胡轲妤,邱成斌,等.围术期程序护理模式对降低脊柱侧弯矫正术后并发症的效果[J].医学信息,2015,28(47):340.
[2]吕月平,贾宁.脊柱侧弯患者围手术期评估及护理[J].中国实用医药,2016,18(6):229-230.
[3] YAGI M,PATEL R,BOACHIE-ADJEI O. Complications and Unfavorable Clinical Outcomes in Obese and Overweight Patients Treated for Adult Lumbar or Thoracolumbar Scoliosis With Combined Anterior/Posterior Surgery[J]. J Spinal Disord Tech,2015,28(6):E368-E376.
[4]蒋中艳,李昌燕,彭仕杉,等.青少年特发性脊柱侧弯矫形术28例围术期护理[J].齐鲁护理杂志,2015,24(12):84-86.
[5]任志兰,崔竹笑.脊柱侧弯矫正手术病人的护理及康复[J].护理研究,2015,12(9):1141-1142.
[6]殷莉,阿比旦·阿不力孜.罗森塔尔效应护理在脊柱侧弯手术患者中的应用价值[J].医学临床研究,2018,35(1):202-204.
[7] DI FELICE F,ZAINA F,DONZELLI S,et al. The Natural History of Idiopathic Scoliosis During Growth:A Meta-Analysis[J].Am J Phys Med Rehabil,2018,97(5):346-356.
[8]周平,汤玉萍.青少年脊柱侧弯后路矫形术术前及术后护理[J].医学信息,2015,24(18):101-102.
[9]安晓燕,顾则娟,王巧桂,等.医护一体化模式用于青少年脊柱侧弯手术的效果评价[J].中国临床医学,2017,24(2):277-280.
[10]何睿.前后路同期手术治疗脊柱侧弯患者的护理策略[J].当代医学,2015,34(17):101-102.
[11]张永梅.脊柱侧弯矫形手术围手术期护理[J].医学信息,2015,21(27):115-115.
[12] WEINSTEIN S L,DOLAN L A,WRIGHT J G,et al. Effects of bracing in adolescents with idiopathic scoliosis[J]. N Engl J Med,2013,369(16):1512-1521.
[13]武文亚,刘钕嫡,廖洁琼,等.青少年特发性脊柱侧弯经后路截骨矫形术围手术期护理[J].中国伤残医学,2018,26(7):73-75.
[14]靳凌云,时秋英.特发性脊柱侧弯的护理对策探讨[J].中国继续医学教育,2015,12(29):233-234.
[15]文海娟.青少年特发性脊柱侧弯畸形矫形术围术期护理干预效果观察[J].医学理论与实践,2018,31(17):2659-2660.
[16]王淑朋.对脊柱侧弯患者在其围手术期进行程序护理的效果分析[J].当代医药论丛,2015,31(8):90-91.
[17]季长高,张冉.青少年特发性脊柱侧弯患者术后生活质量和健康需求调查[J].齐鲁护理杂志,2018,24(4):72-74.
[18]金晶,胡轲妤,邱成斌,等.围术期程序护理模式对降低脊柱侧弯矫正术后并发症的效果[J].医学信息,2015,28(47):340.