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[1]張莉,秦丹霞,張細(xì)姣.Orem自理理論在前路手術(shù)治療脊髓型頸椎病 圍手術(shù)期護(hù)理中的應(yīng)用[J].中醫(yī)正骨,2015,27(09):75-76.
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Orem自理理論在前路手術(shù)治療脊髓型頸椎病 圍手術(shù)期護(hù)理中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年09期
頁(yè)碼:
75-76
欄目:
骨傷科護(hù)理
出版日期:
2015-09-30

文章信息/Info

作者:
張莉秦丹霞張細(xì)姣
浙江省杭州市富陽(yáng)中醫(yī)骨傷醫(yī)院,浙江 富陽(yáng) 311400
關(guān)鍵詞:
頸椎病 圍手術(shù)期護(hù)理 模型護(hù)理學(xué)
摘要:
目的:探討Orem自理理論在前路手術(shù)治療脊髓型頸椎病圍手術(shù)期護(hù)理中的應(yīng)用價(jià)值。方法:2011年1月至2014年5月,采用Orem自理理論對(duì)50例接受前路手術(shù)治療的脊髓型頸椎病患者進(jìn)行系統(tǒng)護(hù)理。男20例、女30例。年齡45~69歲,中位數(shù)49歲。單節(jié)段病變30例,其中C3~C410例、C4~C510例、C5~C610例; 多節(jié)段病變20例,其中C3~C512例、C4~C68例。病程7~12個(gè)月,中位數(shù)8個(gè)月。隨訪觀察患者癥狀緩解、神經(jīng)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間6~28個(gè)月,中位數(shù)15個(gè)月。均未出現(xiàn)脊髓神經(jīng)損傷、切口感染、壓瘡、內(nèi)固定物松動(dòng)或移位。1例出現(xiàn)聲音嘶啞,15例出現(xiàn)咽喉疼痛及吞咽時(shí)異物感,均自行好轉(zhuǎn)。4例出現(xiàn)便秘,調(diào)整飲食并應(yīng)用開塞露后緩解。頸肩部疼痛視覺模擬評(píng)分,末次隨訪[(2.82±1.36)分]低于術(shù)前[(7.22±1.25)分]。日本骨科學(xué)會(huì)(Japanese orthopaedic association,JOA)脊髓型頸椎病評(píng)分,末次隨訪[(15.06±1.82)分]高于術(shù)前[(9.80±2.12)分]。結(jié)論:采用Orem自理理論對(duì)接受前路手術(shù)治療的脊髓型頸椎病患者進(jìn)行系統(tǒng)的圍手術(shù)期護(hù)理,可以緩解疼痛癥狀、促進(jìn)神經(jīng)功能恢復(fù)、減少并發(fā)癥,有助于患者早期康復(fù)。

參考文獻(xiàn)/References:

[1] Liu X,Min S,Zhang H,et al.Anterior corpectomy versus posterior laminoplasty for multilevel cervical myelopathy:a systematic review and meta-analysis[J].Eur Spine J,2014,23(2):362-372.
[2] 中華醫(yī)學(xué)會(huì).臨床診療指南:骨科分冊(cè)[M].北京:人民衛(wèi)生出版社,2009:87-89.
[3] Han YC,Liu ZQ,Wang SJ,et al.Is anterior cervical discectomy and fusion superior to corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy?A systemic review and meta-analysis[J].PLoS One,2014,9(1):e87191.
[4] Tabaraee E,Ahn J,Bohl DD,et al.The Impact of Worker's Compensation Claims on Outcomes and Costs Following an Anterior Cervical Discectomy and Fusion[J].Spine(Phila Pa 1976),2015,40(12):948-953.
[5] Rodrigo V,Maza A,Calatayud JB,et al.Long-term follow-up of anterior cervical discectomy and fusion with bioabsorbable plates and screws[J].Clin Neurol Neurosurg,2015,136:116-121.
[6] Fowler SB,Anthony-Phillips P,Mehta D,et al.Health-related quality of life in patients undergoing anterior cervical discectomy fusion[J].J Neurosci Nurs,2005,37(2):97-100.
[7] 孫怡,楊麗珺.術(shù)前氣管食管推移訓(xùn)練對(duì)頸前路手術(shù)效果的影響[J].上海護(hù)理,2010,10(4):30-32.
[8] 郝慶英,劉楚吟,付嬋娟,等.Hybrid手術(shù)治療脊髓型頸椎病的護(hù)理[J].中醫(yī)正骨,2015,27(2):78-80.
[9] Theodosopoulos PV,Ringer AJ,McPherson CM,et al.Measuring surgical outcomes in neurosurgery:implementation,analysis,and auditing a prospective series of more than 5000 procedures[J].J Neurosurg,2012,117(5):947-954.
[10] 張永紅,王笑青,張萬(wàn)義,等.頑痹清丸與白芍總苷膠囊治療濕毒瘀熱型類風(fēng)濕關(guān)節(jié)炎的對(duì)比研究[J].中醫(yī)正骨,2014,26(12):10-15.
[11] 衛(wèi)秀洋,陳勇忠,王金星,等.3種頸椎后路單開門椎管擴(kuò)大成形術(shù)的臨床效果評(píng)價(jià)[J].中醫(yī)正骨,2014,26(12):19-24.
[12] 牟善芳,鄒靜,馮風(fēng).護(hù)理理論精要[M].天津:天津科學(xué)技術(shù)出版社,2010:92.
[13] 蔣鳳菊,趙慶華.自理理論在臨床護(hù)理中的應(yīng)用進(jìn)展[J].護(hù)理研究,2007,21(23):2072-2074.
[14] Graham J.Nursing theory and clinical practice:how three nursing models can be incorporated into the care of patients with end stage kidney disease[J].CANNT J,2006,16(4):28-31.
[15] Allison SE.Self-care requirements for activity and rest:an Orem nursing focus[J].Nurs Sci Q,2007,20(1):68-76.
[16] 王志偉,張俊,劉言宏,等.脊髓型頸椎病前路手術(shù)中可預(yù)見性并發(fā)癥的預(yù)防[J].中醫(yī)正骨,2008,20(10):29-30.

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備注/Memo

備注/Memo:
2015-06-09收稿 2015-07-09修回
更新日期/Last Update: 2015-09-30