| 摘要: |
| 目的 探究基于纽曼系统模式指导的护理对行青少年特发性脊柱侧凸手术患者的临床效果。方法 本研究为随机对照试验，选择2023年1月至12月在我院进行脊柱侧凸手术治疗的120例青少年特发性脊柱侧凸患者为研究对象，根据入组顺序随机分为试验组和对照组，每组60例。对对照组患者进行常规护理，对试验组进行纽曼系统模式指导的护理。利用独立样本t检验、χ2检验比较两组患者的手术疗效、术后恢复情况、生活质量和自我管理能力。结果 试验组术后6个月主弯Cobb角［（14.33±0.78）°］小于对照组［（16.65±1.02）°，P＜0.001］，术后卧床时间［（4.78±1.32）d vs （6.13±1.26）d］、切口愈合时间［（13.43±3.29）d vs （15.32±5.23）d］和住院时间［（13.17±5.36）d vs （16.93±3.14）d］均短于对照组（均P＜0.05），并发症总体发生率低于对照组［5.00%（3/60） vs 21.67%（13/60），P＝0.016］。与对照组相比，试验组术后6个月在生理机能、躯体疼痛、总体健康、生命活力、社会功能、情感职能和精神健康方面的评分更好（均P＜0.05）。在患者自我管理方面，试验组术后6个月共性管理评分［（17.53±5.98）分vs（13.34±7.32）分］和症状管理评分［（30.95±8.12）分vs（27.32±7.87）分］均高于对照组（均P＜0.05）。结论 对青少年特发性脊柱侧凸手术患者实施基于纽曼系统模式指导的护理有利于患者术后恢复，改善患者生活质量，提高患者自我管理能力。 |
| 关键词: 青少年特发性脊柱侧凸 纽曼系统模式 手术后护理 生活质量 |
| DOI：10.16781/j.CN31-2187/R.20240108 |
| 投稿时间：2024-02-13修订日期：2024-12-12 |
| 基金项目: |
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| Application of nursing guided by Neuman’s systems model in adolescent idiopathic scoliosis surgery patients |
| LIU Xuan,BAI Yushu,LI Ming,YANG Fang,CHEN Kai,ZHANG Wenjing* |
(Department of Spinal Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To explore the clinical effect of nursing guided by Neuman’s systems model on adolescent idiopathic scoliosis surgery patients. Methods This study is a randomized controlled trial. A total of 120 patients with adolescent idiopathic scoliosis who underwent surgery in our hospital from Jan. to Dec. 2023 were enrolled. According to the order of enrollment, they were randomly assigned to experimental group or control group, with 60 patients in each group. The control group received routine nursing, while the experimental group received nursing guided by Neuman’s systems model. Independent-sample t test and χ2 test were used to compare the surgical efficacy, postoperative recovery, quality of life, and self-management ability of the 2 groups. Results Six months post-surgery, the main curve Cobb angle in the experimental group was significantly smaller than that in the control group (［14.33±0.78］° vs ［16.65±1.02］°, P＜0.001). The postoperative bedtime (［4.78±1.32］) d vs ［6.13±1.26］ d), incision healing time (［13.43±3.29］ d vs ［15.32±5.23］ d), and hospital stay (［13.17±5.36］ d vs ［16.93±3.14］ d) were all significantly shorter in the experimental group than those in the control group (all P＜ 0.05). The overall complication rate in the experimental group was significantly lower than that in the control group (5.00% ［3/60］ vs 21.67% ［13/60］, P＝0.016). Six months post-surgery, the experimental group scored better in terms of physical functioning, bodily pain, general health, vitality, social functioning, role-emotional, and mental health compared to the control group (all P＜0.05). In terms of patient self-management, the experimental group also had significantly higher scores in common management (17.53±5.98 vs 13.34±7.32) and symptom management (30.95±8.12 vs 27.32±7.87) compared to the control group (both P＜0.05). Conclusion The nursing guided by Neuman’s systems model for adolescent idiopathic scoliosis surgery patients can promote their postoperative recovery and improve their quality of life and self-management capabilities. |
| Key words: adolescent idiopathic scoliosis Neuman’s systems model postoperative care quality of life |
