Application of nursing outcome classification system oriented nursing intervention in postoperative rehabilitation of patients with thoracolumbar tuberculosis
10.3760/cma.j.issn.1674-2907.2018.23.017
- VernacularTitle:以护理结局分类系统为导向的护理干预在胸腰椎体结核患者术后康复中的应用
- Author:
Xiuhua CHEN
1
;
Yanxia FU
Author Information
1. 251700,山东省滨州市中心医院骨脊柱外科
- Keywords:
Perioperative nursing;
Thoracic vertebral;
Tuberculosis;
Nursing outcome classification
- From:
Chinese Journal of Modern Nursing
2018;24(23):2804-2807
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of nursing outcome classification system oriented nursing intervention on postoperative rehabilitation in patients with thoracolumbar tuberculosis.Methods A total of 144 patients with thoracolumbar tuberculosis treated in Central Hospital of Binzhou,Shandong Province,from June 2016 to May 2017 were selected as the research subjects.All the patients were divided into two groups by to the random number table method,with 72 cases in each group.The control group was treated with routine care.The observation group was given nursing based on the classification of nursing outcomes.All the intervention lasted for 8 weeks.Visual Analogue Scale (VAS),Frankel classification,Barthel index and improved FuglMeyer score were used to compare the pain relief,nerve function,motor function,the difference of living ability and complications between the two groups.Results The VAS scores of the observation group and the control group were (2.82 ± 0.76) and (3.92 ± 0.57) respectively,and the difference was statistically significant (t=9.825,P ＜ 0.001).There were 64 cases of grade E in the Frankel grade in the observation group,and 52 cases in the control group,and the difference was statistically significant (x2=6.384,P ＜ 0.05).The Barthel index and the score of the modified limb motor function of the observation group were (91.51 ± 18.18) and (87.12 ± 15.56),which were both higher than the control group but with no statistical difference (P ＞ 0.05).The incidence of complications in the observation group was 16.67％,while that in the control group was 29.17％,and the difference was statistically significant (P ＜ 0.05).Conclusions Nursing outcome classification has positive significance in perioperative nursing of patients with thoracolumbar tuberculosis,which can promote the recovery of neurological function.
