循证护理对退行性腰椎滑脱患者生活质量和预后功能的影响

目的 探讨循证护理对退行性腰椎滑脱患者生活质量和预后功能的影响.方法 回顾性分析我院2013年3月至2016年2月收治的100例退行性腰椎滑脱患者的临床资料,依据护理措施不同分为对照组50例和循证护理组50例.比较两组患者护理干预前后的生活质量评分、脊髓功能(JOA)评分、预后功能和并发症发生情况.结果 两组患者护理前的生理功能、心理功能、社会功能、生活环境评分、主观症状、临床症状、日常活动、JOA总评分比较差异均无统计学意义(P>0.05);护理后两组患者的生理功能、心理功能、社会功能和生活环境评分、主观症状、临床症状、日常活动、JOA总评分均高于护理前,且循证护理组患者护理后的上述各项指标均高于对照组,差异均有统计学意义(P<0.05);循证护理组患者预后功能总有效率为100.0%,明显高于对照组的90.0%,并发症发生率为4.0%,明显低于对照组的26.0%,差异均有统计学意义(P<0.05).结论 循证护理应用于退行性腰椎滑脱患者可有效改善其生活质量和预后功能,值得临床推广应用.

Influence of evidence-based nursing on quality of life and prognosis in patients with degenerative lumbar spondylolisthesis

Objective To explore the influence of evidence-based nursing on quality of life and prognostic function in patients with degenerative lumbar spondylolisthesis. Methods From Mar. 2013 to Feb. 2016, 100 patients with degenerative lumbar spondylolisthesis in our hospital were selected and divided into two groups by different nurs-ing interventions:control group (50 cases, routine nursing) and evidence-based nursing group (50 cases, evidence-based nursing). The quality of life score, Japanese Orthopedic Association (JOA) score, prognostic function, and complications were compared between the two groups. Results Before nursing, the scores of physiological function, mental function, social function, surroundings, subjective symptom, clinical symptoms, daily activities, and JOA total scores of the two groups were similar (P>0.05). After nursing, the above scores were significantly improved compared with those before nursing, and the scores of evidence-based nursing group were significantly higher than those of control group (P<0.05). The effective rate of prognostic function was 100.0%in evidence-based nursing group, significantly higher than 90.0%in control group. The incidence of complications was 4.0% in evidence-based nursing group, versus 26.0% in control group (P<0.05). Conclusion The application of evidence-based nursing in degenerative lumbar spondylolisthesis could improve the quality of life and prognostic function, which is worthy to be promoted.