Design of a new spinal nerve assessment form and its clinical application effect in the nursing of patients with spinal cord injury
10.3760/cma.j.cn211501-20240312-00553
- VernacularTitle:新型脊神经评估单的设计及其在脊髓损伤患者护理中的临床应用效果研究
- Author:
Liangqing TANG
1
;
Qiujin LIANG
1
;
Zhiling WEN
1
;
Kai YUAN
1
Author Information
1. 广州中医药大学第一附属医院脊柱骨科，广州 516400
- Publication Type:Journal Article
- Keywords:
Spinal nerve assessment;
Spinal cord injury;
Nursing care
- From:
Chinese Journal of Practical Nursing
2025;41(9):689-694
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of a self-made new spinal nerve assessment form in the nursing of patients with spinal cord injury, and to evaluate the observation ability of clinical nurses on the changes in the condition of spinal cord injury patients.Methods:This study adopted a randomized controlled trial and designed and developed a novel spinal nerve assessment form based on the "International Classification of Spinal Cord Injury Neurology (2019 edition)". The 32 nursing staff from the Department of Spine and Orthopedics of the First Affiliated Hospital of Guangzhou University of Chinese Medicine were selected and randomly divided into an observation group and a control group, with 16 nurses in each group. A total of 600 spinal cord injury patients admitted to the Department of Spine and Orthopedics of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from April 2022 to April 2023 were grouped for evaluation. The observation group implemented a new spinal nerve assessment record form to evaluate patients. The control group nurses evaluated patients using routine functional assessment methods. The rates of incorrect evaluation, missed evaluation, evaluation time and other factors were compared between the two groups.Results:Both groups of nurses were female, with the control group aged (30.98 ± 2.38) years and the observation group aged (31.28 ± 1.68) years. There were 200 male and 100 female patients in the control group, aged (55.18 ± 15.28) years; there were 189 male and 111 female patients in the observation group, aged (54.48 ± 16.48) years. The error rate and omission rate of the observation group after using the new spinal nerve assessment tool were 2.31% (245/10 584) and 1.82% (196/10 780), respectively, while the control group was 3.51% (368/10 486) and 2.73% (294/10 780). The differences between the two groups were statistically significant ( χ2=25.40, 20.06, both P<0.05); the evaluation time for cervical and lumbar spine injuries in the observation group were (238.79 ± 10.41) and (118.99 ± 11.12) h, respectively, while in the control group were (366.88 ± 11.89) and (197.22 ± 12.21) h. The differences between the two groups were statistically significant ( t=102.70, 82.51, both P<0.05). Conclusions:The self-made new spinal nerve assessment form can reduce error rate and omission rate in the spinal nerve assessment of spinal cord injury patients by nurses, save assessment time, standardize nurse operations, improve the quality of specialized nursing work, and ensure nursing safety.
