临床护理路径在腰椎间盘突出症患者围术期的应用价值研究.docVIP

临床护理路径在腰椎间盘突出症患者围术期的应用价值研究 　　解放军总医院骨科，北京 100853 　　[摘要] 目的 研究临床护理路径在腰椎间盘突出症患者围术期的应用价值。 方法 选择2010年1月～2012年12月解放军总医院骨科收治的腰椎间盘突出症患者130例，随机分为观察组和对照组，每组各65例；观察组患者给予临床护理路径进行干预，对照组患者给予常规护理方式。采用自我护理能力测量量表（ESCA）观察患者围术期自我护理能力；采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、焦虑自评量表（SAS）、抑郁自评量表（SDS）对患者心理状态进行评估；采用生活质量核心量表（QOL-30）对患者生活质量进行评估。 结果 ①护理前两组患者自我护理能力差异无统计学意义（P 0.05）。护理后两组患者自我护理能力评分均高于护理前，差异有统计学意义（P 0.05）。护理后两组患者负面情绪评分均低于护理前，差异有统计学意义（P 0.05）。护理后两组患者生活质量均高于术前，差异有统计学意义（P 0.05）；且观察组患者躯体功能[（75.1±11.3）分]、心理功能[（65.3±9.3）分]、社会功能[（71.8±11.3）分]、认知功能[（62.8±7.7）分]及生活总质量评分[（88.84±8.3）分]均高于对照组[（68.4±9.1）、（59.8±7.3）、（63.3±9.4）、（56.3±8.9）、（81.31±6.9）分]，差异有统计学意义（P 0.05）。 结论 临床护理路径能够改善患者的心理状态、生活质量以及自我护理能力，具有积极的临床价值。 　　[关键词] 腰椎间盘突出症；临床护理路径；自我护理能力；心理状态 　　[中图分类号] R473 [文献标识码] C [文章编号] 1673-7210（2013）11（b）-0138-04 　　Application value of clinical nursing path in perioperative patients with lumbar disc protrusion 　　HUANG Ying LIU Caixia HAN Ting WANG Shunan SONG Chunyu JI Xiuming 　　Department of Orthopaedics， General Hospital of Chinese PLA， Beijing 100853， China 　　[Abstract] Objective To study the application value of clinical nursing path in perioperative patients with lumbar disc protrusion. Methods 130 patients with lumbar disc protrusion in the Department of Orthopedics， General Hospital of PLA from January 2010 to December 2012 were enrolled and randomly divided into observation group and control group with 65 cases in each group. Patients in observation group were treated with clinical nursing path， patients in control group were treated with conventional methods. ESCA scale was used to observe the perioperative self-care ability； HAMA， HAMD， SAS， SDS scale were used to evaluate the psychological states； QOL-30 scale was used to evaluate the living quality. Results ①The differences of perioperative self-care ability of the two groups before the nursing was not statistically significant （P 0.05）. Perioperative self-care ability of the two groups after the nursing were higher than those b