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目的:探讨早期康复护理干预在腰椎椎间融合术患者中的应用效果,为腰椎椎间融合术患者提供护理经验。方法76例行后路腰椎椎间融合术的腰椎退变性疾病患者采用数字表法随机分为观察组和对照组,每组38例。对照组采用骨科常规护理方法,观察组则采用早期康复护理干预,均连续干预12周。对比观察2组干预前后下腰痛功能障碍指数( ODI)总分及主要项目评分、视觉模拟疼痛( VAS)评分以及抑郁症状( SDS)评分。结果干预后2组患者ODI总分及疼痛、自理、睡眠、坐、社会5个主要项目得分均较治疗前显著降低,差异有统计学意义(P<0.05);观察组患者干预后ODI总分及疼痛、自理、睡眠、坐和社会5个主要项目得分低于对照组干预后,差异有统计学意义( P<0.05);干预后患者2组腰VAS评分及下肢VAS评分均较治疗前降低,差异有统计学意义(P<0.05);观察组患者干预后SDS评分较干预前降低,差异有统计学意义(P<0.05),对照组无明显变化(P>0.05);观察组患者干预后腰VAS评分、下肢VAS评分和SDS评分低于对照组干预后,差异有统计学意义(P<0.05)。结论早期康复护理干预可以显著提高腰椎椎间融合术患者康复效果,减少患者腰、下肢疼痛,改善患者抑郁症状,值得临床推广普及。 相似文献
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ObjectiveTo provide experience and reference for similar medical service in future, this paper summarized and analyzed the detail management of overseas outpatient medical ser vice by “Mission Harmony 2013” hospital ship in Southeast Asia. MethodsProblems existed in overseas outpatient medical service in Southeast Asia were analyzed, and solutions were put forward by strengthening detail management. ResultsThe average daily service visits were obviously improved, registration and waiting time of patients were shortened. The medical order changed from the chaos into organized. ConclusionIn the overseas outpatient medical service on “Mission Harmony 2013” hospital ship in Southeast Asia, strengthening detail management was effective in improving service efficiency and quality. 相似文献
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