摘要
目的评价非特异性下腰痛患者综合护理干预的临床效果和费用。方法将260例非特异性下腰痛患者随机分为研究组和对照组各130例,对研究组进行综合护理干预(心理干预及渐进性锻炼方法),对照组采取常规护理。采用Zung氏焦虑自评量表(Zung self-anxiety scale,SAS)、抑郁自量表(self-depression scale,SDS)、视觉模拟评分法(visual analog scale,VAS)及生活质量评估表,分别在干预前、干预1年后对两组患者进行评估,并对干预1年时两组患者与下腰痛相关的医疗服务情况及其费用进行分析。结果两组患者干预前SAS和SDS评分与国内常模比较有显著差异(P<0.01);干预后,两组患者间SAS和SDS评分、疼痛情况、生活质量及费用比较均有显著差异(P<0.05或P<0.01)。结论对患者进行心理干预及渐进性腰背肌、腹肌锻炼结合常规护理的综合干预方法可提高患者的生活质量,降低医疗费用。
Objective To evaluate the outcomes and costs of nursing intervention of patients with non-specific low back pain （NLBP）. Methods 260 patients with NLBP were randomly divided into treatment group and control group. Patients in treatment group were given comprehensive nursing intervention （psycho-intervention and gradual exercise） and those in the control group were given routine care. The life quality of patients was evaluated by Zung self-anxiety scale （SAS）, self-depression scale （SDS） and visual analog scale （VAS） before and 1 year after intervention. The medical service and costs of patients during one year intervention were analyzed and compared in the 2 groups. Results Before intervention, the SAS and SDS scores of the 2 groups were significantly different from the national norm（ P 〈0.01）. There were significant differences in SAS and SDS scores, pain, life quality and medical costs between the 2 groups （ P 〈0.05 or P 〈0.01）. Conclusion The comprehensive nursing intervention combining psycho-intervention and gradual muscle exercise can improve life quality and reduce medical cost of NLBP patients.
出处
《解放军护理杂志》
2007年第6期1-3,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
下腰痛
心理干预
锻炼
效果
费用
non-specific low back pain （NLBP）
psycho-intervention
exercise
clinical effect
medical cost
作者简介
李梅（1963-），女，湖北十堰人，主管护师，大专，主要从事外科护理工作
通讯作者：王桂荣，E-mail：wgr_630102@yahoo．com.cn
