Application of nursing intervention based on individual and family self-management theory in postoperative rehabilitation of patients undergoing percutaneous transforaminal endoscopic surgery
10.3760/cma.j.cn115682-20220104-00035
- VernacularTitle:基于个人和家庭自我管理理论的护理干预在经皮椎间孔镜手术患者术后康复中的应用
- Author:
Xuefeng HOU
1
;
Ruihong NIU
;
Feng CHANG
;
Ting ZHANG
;
Hongrui WANG
;
Ru WANG
;
Hongyu GUO
;
Jinmin GUO
Author Information
1. 山西省人民医院骨科，太原 030012
- Keywords:
Rehabilitation nursing;
Percutaneous transforaminal endoscopic surgery;
Self-management;
Pain;
Complications;
Individual and family self-management theory
- From:
Chinese Journal of Modern Nursing
2022;28(36):5073-5078
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nursing interventions based on individual and family self-management theory (IFSMT) on postoperative rehabilitation of patients undergoing percutaneous transforaminal endoscopic surgery.Methods:A total of 835 patients who underwent percutaneous transforaminal endoscopic surgery in Shanxi Provincial People's Hospital from January 2018 to January 2020 were selected as research objects by the convenient sampling method. According to the random envelope method, patients were divided into the control group ( n=417) and the observation group ( n=418) according to the approximate 1∶1 standard. The control group was given routine nursing intervention, while the observation group was given nursing intervention based on IFSMT on the basis of the control group. The differences in self-management ability, postoperative recovery time, lumbar functional recovery, pain score and postoperative complication rate before and after intervention were compared between the two groups. Results:After intervention, the scores of treatment management, psychological management, life management and knowledge and skill management in the observation group were higher than those before intervention and were higher than those in the control group, and the differences were statistically significant ( P<0.01). The hospitalization days, self-care time and work recovery time of observation group were shorter than those of control group, and the differences were statistically significant ( P<0.01). After intervention, the Oswestry dysfunction index and pain score in the observation group were lower than those before intervention and lower than those in the control group. The treatment score evaluated by the Japanese Orthopedic Association was higher than that before intervention and higher than that of the control group, and the differences were statistically significant ( P<0.01). The incidence of postoperative complications in observation group was lower than that in control group, and the difference was statistically significant ( P<0.05) . Conclusions:IFSMT based nursing intervention for patients undergoing percutaneous foraminal endoscopic surgery is beneficial to postoperative rehabilitation of patients, which is worthy of clinical promotion.
