时效性激励护理对脊髓型颈椎病病人术后康复的影响

目的探讨时效性激励护理对脊髓型颈椎病(CSM)病人术后康复的影响。方法选取CSM并行手术治疗的病人90例，随机分为2组。对照组给予常规护理，观察组在常规护理基础上给予时效性激励护理。记录并比较2组病人年龄、性别、病程、手术时间、下地活动时间、住院时间、手术入路、病变节段、基础疾病情况、护理前后视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分、颈椎活动度(ROM)变化、生活质量(QOL)、并发症及护理总满意度。结果观察组下地活动时间及住院时间明显短于对照组(P < 0.01)。与护理前相比，护理后2组VAS评分均明显降低(P < 0.01)，JOA评分和ROM均明显升高(P < 0.01)。与对照组相比，观察组的改善更为明显(P < 0.01)。观察组并发症发生率低于对照组(P < 0.05)。护理后2个月及6个月观察组生理功能、生理职能、躯体疼痛、整体健康、精力、情感职能、社会职能、心理健康评分均优于护理前和对照组(P < 0.01)。观察组护理总满意度高于对照组(P < 0.05)。结论时效性激励护理可有效改善CSM病人术后康复水平，减轻疼痛，降低并发症发生率，提高QOL指数，提高护理满意度。

Effect of timeliness incentive nursing on postoperative rehabilitation in patients with cervical spondylotic myelopathy

ObjectiveTo explore the effect of timeliness incentive nursing on postoperative rehabilitation of patients with cervical spondylotic myelopathy (CSM).MethodsNinety patients with CSM treated by surgery were randomly divided into two groups.The control group was given routine nursing, and the observation group was given timeliness incentive nursing on the basis of routine nursing.Age, gender, course of disease, operation time, time of field activity, length of hospital stay, surgical approach, pathological segment, basic disease, visual analogue scale (VAS) score before and after nursing, JOA score, cervical spine activity (ROM), quality of life (QOL), complications and nursing satisfaction in the two groups were recorded.ResultsThe underground activity time and hospital stay in the observation group were significantly shorter than those in the control group (P < 0.01).Compared with that before nursing, VAS score decreased significantly(P < 0.01), JOA score and ROM increased significantly in the two groups after nursing (P < 0.01).Compared with the control group, the improvement of the observation group was more significant (P < 0.01).The incidence of complications in the observation group was significantly lower than that in the control group (P < 0.01).Two months and 6 months after nursing, the scores of physiological function, physiological function, physical pain, overall health, energy, emotional function, social function, and mental health in the observation group were better than those in the control group (P < 0.01).The nursing satisfaction of the observation group was significantly higher than that of the control group (P < 0.05).ConclusionsTimeliness incentive nursing can effectively improve the postoperative rehabilitation level of CSM patients, reduce pain, reduce the incidence of complications, improve QOL index and nursing satisfaction.