延续干预在椎动脉型颈椎病患者护理中的应用效果

刘亚纳 郝伟伟 张娜

[摘要]目的 研究延续干预在椎动脉型颈椎病患者护理中的应用效果。方法 选取2017年2月～2019年5月我院收治的100例椎动脉型颈椎病患者作为研究对象，按照随机数字表法分为参照组与观察组，每组各50例。参照组采用骨科常规干预，观察组采用延续干预。观察3个月，比较两组遵医行为、自我护理能力及颈椎功能障碍指数变化情况。结果 出院3个月时，观察组在饮食、治疗、生活习惯及服药方面遵医行为评分高于参照组，差异有统计学意义（P<0.05）。观察组自理能力评分低于参照组，差异有统计学意义（P<0.05）。观察组颈椎功能障碍指数低于参照组，差异有统计学意义（P<0.05）。结论 在椎动脉型颈椎病護理中，选择延续干预方式有利于提升患者遵医行为，提高其自我护理能力，对患者预后较为关键。

[关键词]椎动脉型颈椎病;延续干预;遵医行为;自我护理能力;颈椎功能障碍指数;价值

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0244-03

[Abstract] Objective To study the application effect of continuous nursing intervention in patients with vertebral artery type of cervical spondylosis. Methods A total of 100 patients with vertebral artery type of cervical spondylosis treated in our hospital from February 2017 to May 2019 were selected in this study. They were divided the reference group and the observation group according to random number table method， 50 cases in each group. In the reference group， conventional orthopedic intervention was used， and in the observation group continuous nursing intervention was used. After three-month observation， the treatment compliance， self-care ability and cervical dysfunction index change between the two groups were compared. Results At 3 months after discharge， the scores in terms of diet， treatment， living habits， and medication in the observation group were higher than those in the reference group， and the differences were statistically significant （P<0.05）. In the observation group， the self-care ability score was lower than that of the reference group， and the difference was statistically significant （P<0.05）. The cervical dysfunction index in the observation group was lower than that in the reference group， with statistical difference （P<0.05）. Conclusion In the nursing of vertebral artery type of cervical spondylosis， the selection of continuous intervention is conducive to improving patient′s treatment compliance and self-care ability， which is critical to the prognosis.

[Key words] Vertebral artery type of cervical spondylosis; Continuous intervention; Treatment compliance; Self-care ability; Cervical dysfunction index; Value

椎动脉型颈椎病是骨科疾病常见类型，大部分采取保守治疗法，但部分患者由于自身原因或医院条件有限，导致无法定时来医院接受全部治疗[1]。加之，部分患者出院后仍继续接受相关护理。延续干预是护理模式的一种，是面向有医疗性护理需求且已经出院患者提供健康指导、康复锻炼及医疗护理等为主综合性服务，是住院护理的延伸部分。随着人们生活质量的提升，人们医疗服务观念有所转变，对医疗服务需求越来越大，也越来越重视护理服务质量，希望能在较短时间以恢复最佳状态[2-3]。……