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目的探讨脊柱外科患者术后康复功能锻炼依从性质量改善的效果,为加快患者康复提供依据。方法将2016年6月1日—7月14日在脊柱外科住院行手术治疗的脊柱疾病患者49例作为对照组,将2016年7月15日—8月30日在脊柱外科住院行手术治疗的脊柱疾病患者50例作为试验组。对照组采用常规护理进行康复功能锻炼,试验组采用系列质量改善措施进行康复功能锻炼。比较两组患者功能锻炼依从性、患者功能锻炼准确率、患者对健康教育工作的满意度。结果试验组功能锻炼依从性(完全依从45例,部分依从4例,不依从1例)较对照组(完全依从9例,部分依从34例,不依从6例)高,差异有统计学意义(Z=–6.910,P<0.001)。试验组功能锻炼准确率[84.00%(168/200)]高于对照组[53.06%(104/196)],差异有统计学意义(χ2=44.060,P<0.001)。试验组对健康教育工作的满意度[(4.64±0.49)分]高于对照组[(4.20±0.89)分],差异有统计学意义(t=3.084,P=0.003)。结论实施护理质量改善干预可以提高脊柱外科患者术后康复功能锻炼依从性及功能锻炼准确率,提高患者对健康教育工作的满意度,值得推广。
Objective To explore the effect of improving the quality of postoperative rehabilitation functional rehabilitation in patients with spine surgery and provide the basis for accelerating the rehabilitation of patients. Methods 49 patients with spine disease surgically treated in spine surgery from June 1, 2016 to July 14, 2016 were selected as the control group. Patients who underwent surgery in the spinal surgery hospital from July 15 to August 30, 2016 Fifty patients with spine disease served as experimental group. The control group received routine nursing care rehabilitation exercise, the experimental group using series of quality improvement measures for rehabilitation exercise. Comparing the functional exercise compliance of patients in two groups, the accuracy rate of patients’ functional exercise, and patient satisfaction with health education. Results Compared with the control group (totally obeying 9 cases, partial compliance 34 cases, non-compliance 6 cases), the functional exercise compliance (totally obeying 45 cases, partially obeying 4 cases and not conforming 1 case) in the experimental group was significantly higher than that of the control group Z = -6.910, P <0.001). The accuracy rate of functional exercise in test group [84.00% (168/200)] was higher than that in control group [53.06% (104/196)], the difference was statistically significant (χ2 = 44.060, P <0.001). The satisfaction degree of the experimental group to health education [(4.64 ± 0.49) points] was higher than that of the control group (4.20 ± 0.89) points, the difference was statistically significant (t = 3.084, P = 0.003). Conclusions The implementation of nursing quality improvement intervention can improve postoperative rehabilitation of patients with spine surgery functional exercise compliance and accuracy of functional exercise and improve patient satisfaction with health education, which is worth promoting.