Application of risk anticipation and coping intervention model in patients undergoing anterior decompression and bone grafting with internal fixation
10.3760/cma.j.cn115682-20241017-05682
- VernacularTitle:风险前瞻应对模式干预在前路减压植骨内固定患者中的应用
- Author:
Yi YU
1
;
Jinmei QI
1
;
Fulong DONG
1
;
Jing ZHANG
1
;
Xia YAN
1
;
Shixin SHENG
1
;
Lili XIA
1
Author Information
1. 安徽医科大学第一附属医院脊柱外科，合肥 230031
- Publication Type:Journal Article
- Keywords:
Cervical spondylosis;
Risk management;
Pain;
Swallowing function;
Cervical spine function
- From:
Chinese Journal of Modern Nursing
2025;31(17):2315-2320
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of risk anticipation and coping intervention model in patients with cervical spondylosis undergoing anterior decompression and bone grafting with internal fixation.Methods:A convenience sampling method was used to select 132 patients with cervical spondylosis who underwent the aforementioned surgical procedure at the First Affiliated Hospital of Anhui Medical University between January 2022 and June 2024. Patients admitted between January 2022 and March 2023 ( n=66) formed the control group and received routine nursing care, while those admitted between April 2023 and June 2024 ( n=66) formed the observation group and received nursing interventions based on the risk anticipation and coping model. Both groups were followed until three months after discharge. Pain intensity, swallowing function, nutritional status, cervical spine function, and quality of life were compared between the two groups. Results:Pain scores were lower in the observation group than in the control group at 6, 12, 24, and 48 hours postoperatively ( P<0.05) . At 24 and 48 hours postoperatively, the observation group had significantly better scores on the Kubota Water Swallowing Test compared to the control group ( P<0.05) . On the day before discharge and three months post-discharge, body mass index, plasma albumin, total protein, Japanese Orthopaedic Association score, and quality of life score were all significantly higher in the observation group than in the control group ( P<0.05) . Conclusions:The risk anticipation and coping intervention model can effectively reduce postoperative pain and improve swallowing function in patients undergoing anterior decompression and bone grafting with internal fixation for cervical spondylosis. It also promotes the recovery of cervical spine function and enhances quality of life.
