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[1]張莉,秦丹霞,張細姣.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
頁碼:
75-76
欄目:
骨傷科護理
出版日期:
2015-09-30

文章信息/Info

作者:
張莉秦丹霞張細姣
浙江省杭州市富陽中醫(yī)骨傷醫(yī)院,浙江 富陽 311400
關(guān)鍵詞:
頸椎病 圍手術(shù)期護理 模型護理學
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)期護理中的應(yīng)用價值。方法:2011年1月至2014年5月,采用Orem自理理論對50例接受前路手術(shù)治療的脊髓型頸椎病患者進行系統(tǒng)護理。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個月,中位數(shù)8個月。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,隨訪時間6~28個月,中位數(shù)15個月。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]。日本骨科學會(Japanese orthopaedic association,JOA)脊髓型頸椎病評分,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自理理論對接受前路手術(shù)治療的脊髓型頸椎病患者進行系統(tǒng)的圍手術(shù)期護理,可以緩解疼痛癥狀、促進神經(jīng)功能恢復(fù)、減少并發(fā)癥,有助于患者早期康復(fù)。

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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