临床护理路径对腰椎间盘突出症病人遵医行为的影响

目的]探讨临床护理路径对腰椎间盘突出症病人遵医行为的作用，寻求更好的护理方式。方法]选取2011年8月～2012年8月在椎间盘科诊断为腰椎间盘突出症的病人100例，随机分为实验组及对照组各50例。实验组采用临床护理路径对病人进行护理，对照组采用常规的护理方式。比较两组病人住院时闻、治疗效果、复发情况、病人对住院满意情况以及遵医情况等。结果]实验组病人治疗效果优于对照组（P〈0．05）；实验组病人住院天数短于对照组，腰椎间盘突出复发率低于对照组，对住院情况满意度高于对照组，且差异具有统计学意义（P〈0．05）；实验组病人的遵医行为按时服药、睡硬板床、腰肌功能锻炼、合理饮食、避免负重、防寒保暖等比率均高于对照组病人，且差异具有统计学意义（P〈O．05）。结论]临床护理路径可以有效缩短腰椎间盘突出症病人的住院时间，减少疾病复发率，且提高病人的遵医行为，有利于病人的预后。

Study on influence of clinical nursing path on compliance behavior of patients with lumbar disc herniation

Objective：To probe into the effect of clinical nursing path on compliance behavior of patients with lumbar disc herniation and seek better nursing style. Methods.A total of 100 eases of patients with lumbar disc herniation diagnosed in department of lumbar disc were selected from October in 2011 to October in 2012 and were randomly divided into experimental group and control group, 50 cases in each. The experimental group patients received nursing care by clinical nursing path, control group cases used routine nursing style. Then to compare duration of hospitalization, treatment effects, recurrence, patients satisfaction to hospitalization and their compliance. Results：Remarkable efficiency, the efficiency and the total effective rate of experimental group patients were higher than that of the control group before and after nursing, the care inefficient rate of experimental group patients was lower than that of the control group,and the difference was statistically significant （P〈0. 05）. The hospital stay of experimental group patients was shorter than that of the control group, the recurrence rate of lumbar disc herniation was lower than that of the control group, patients＇ satisfaction at hospitalizations was higher than that of control group,and the difference was statistically significant （P〈0.05）. All the ratios including regular medication compliance behavior, sleeping on hard beds, the psoas muscle function exercise, proper diet, avoiding weight - bearing,weatherization in the experimental group patients were higher than that of control group,and the difference was statistically significant （P〈0.05）. Conclusion：The clinical nursing path can effectively shorten the hospital stay of patients with lumbar disc herniation, reduce the rate of disease recurrence and to improve patients＂ compliance behavior and is conducive to the patients＇prognosis.