摘要
目的探讨风险前瞻应对模式干预在行前路减压植骨内固定的颈椎病患者中的应用效果。方法采用便利抽样法,选取2022年1月—2024年6月在安徽医科大学第一附属医院接受前路减压植骨内固定术的132例颈椎病患者为研究对象。将2022年1月—2023年3月收治的66例患者作为对照组,实施常规模式护理;将2023年4月—2024年6月收治的66例患者作为观察组,实施风险前瞻应对模式的护理干预,两组均干预至出院后3个月。比较两组患者疼痛程度、吞咽功能、营养状态、颈椎功能、生活质量的差异。结果观察组术后6、12、24、48 h疼痛评分低于对照组,观察组术后24、48 h洼田饮水试验评分低于对照组,差异均有统计学意义(均P<0.05)。观察组出院前1 d、出院3个月后体重指数、白蛋白、总蛋白、日本骨科协会评分、生活质量评分均高于对照组,差异均有统计学意义(均P<0.05)。结论采用风险前瞻应对模式干预可以有效改善颈椎病行前路减压植骨内固定患者的术后疼痛程度和吞咽功能,促进患者颈椎功能恢复,提高患者生活质量。
ObjectiveTo explore the application effect of risk anticipation and coping intervention model in patients with cervical spondylosis undergoing anterior decompression and bone grafting with internal fixation.MethodsA convenience sampling method was used to select 132 patients with cervical spondylosis who underwent the aforementioned surgical procedure at the First Affiliated Hospital of Anhui Medical University between January 2022 and June 2024.Patients admitted between January 2022 and March 2023(n=66)formed the control group and received routine nursing care,while those admitted between April 2023 and June 2024(n=66)formed the observation group and received nursing interventions based on the risk anticipation and coping model.Both groups were followed until three months after discharge.Pain intensity,swallowing function,nutritional status,cervical spine function,and quality of life were compared between the two groups.ResultsPain scores were lower in the observation group than in the control group at 6,12,24,and 48 hours postoperatively(P<0.05).At 24 and 48 hours postoperatively,the observation group had significantly better scores on the Kubota Water Swallowing Test compared to the control group(P<0.05).On the day before discharge and three months post-discharge,body mass index,plasma albumin,total protein,Japanese Orthopaedic Association score,and quality of life score were all significantly higher in the observation group than in the control group(P<0.05).ConclusionsThe risk anticipation and coping intervention model can effectively reduce postoperative pain and improve swallowing function in patients undergoing anterior decompression and bone grafting with internal fixation for cervical spondylosis.It also promotes the recovery of cervical spine function and enhances quality of life.
作者
余逸
祁金梅
董福龙
张静
严霞
盛时欣
夏丽莉
Yu Yi;Qi Jinmei;Dong Fulong;Zhang Jing;Yan Xia;Sheng Shixin;Xia Lili(Department of Spinal Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei 230031,China)
出处
《中华现代护理杂志》
2025年第17期2315-2320,共6页
Chinese Journal of Modern Nursing
基金
安徽省卫生健康科研项目(AHWJ2023A20125)。
关键词
颈椎病
风险应对
疼痛
吞咽功能
颈椎功能
Cervical spondylosis
Risk management
Pain
Swallowing function
Cervical spine function
作者简介
通信作者:夏丽莉,Email:704352540@qq.com。
