论文部分内容阅读
目的探讨综合护理干预对腰椎间盘突出症患者术后肠道并发症的影响。方法抽取2014年12月—2016年8月郑州人民医院收治的84例腰椎间盘突出症患者,按照随机数字表法分为对照组与研究组,每组42例。两组均采用外科手术治疗,对照组采用常规护理,研究组在常规护理基础上给予综合护理干预,两组均护理干预1个月。统计对比两组护理前、后机体功能恢复情况、疼痛评分(VAS)及日常生活能力评分(ADL)变化情况、肠道并发症发生情况及护理满意度。结果研究组开始进食时间、肛门排便时间、肛门排气时间、腹胀腹痛消失时间均短于对照组,差异有统计学意义(P<0.05);护理前,两组VAS评分及ADL评分对比,差异无统计学意义(P>0.05);护理后,两组各指标均较本组护理前改善,且研究组VAS评分低于对照组,ADL评分高于对照组,差异有统计学意义(P<0.05);护理后,研究组腹痛、便秘、腹胀发生率低于对照组,差异有统计学意义(P<0.05);研究组护理满意度(95.24%)高于对照组(76.19%),差异有统计学意义(P<0.05)。结论腰椎间盘突出症患者采用综合护理干预效果显著,可有效减少机体功能康复用时,缓解术后疼痛感,提高日常生活能力及护理满意度,降低术后肠道并发症发生率。
Objective To investigate the effect of comprehensive nursing intervention on postoperative intestinal complications in patients with lumbar disc herniation. Methods Eighty-four patients with lumbar disc herniation admitted from December 2014 to August 2016 in Zhengzhou People’s Hospital were divided into control group and study group according to random number table method, with 42 cases in each group. The two groups were treated by surgery. The control group received routine nursing. The study group received comprehensive nursing intervention on the basis of routine nursing. Both groups received nursing intervention for 1 month. Statistical comparison was made between the two groups before and after care, functional recovery, pain score (VAS) and ADL, intestinal complications and nursing satisfaction. Results The study group began to eat time, anal defecation time, anal exhaust time, abdominal distension and abdominal pain disappear time were shorter than the control group, the difference was statistically significant (P <0.05); before nursing, two groups of VAS score and ADL score difference There was no significant difference between the two groups (P> 0.05). After nursing, the indexes of both groups improved before the nursing, and the VAS score of the study group was lower than that of the control group, and the ADL score was higher than that of the control group (P < 0.05). After nursing, the incidence of abdominal pain, constipation and bloating in the study group was lower than that in the control group (P <0.05). The nursing satisfaction (95.24%) in the study group was higher than that in the control group (76.19%), There was statistical significance (P <0.05). Conclusions The comprehensive nursing intervention for patients with lumbar disc herniation is effective. It can effectively reduce the functional recovery time, relieve postoperative pain, improve daily living ability and satisfaction with nursing, and reduce the incidence of postoperative intestinal complications.