Application Of Stage Posture Management In Early Postoperative Rehabilitation Patients With Cervical Intraspinal Tumors

Objective: To construct a staged posture management scheme,and to investigate its application effect in early postoperative rehabilitation of patients with cervical intraspinal tumors.Methods: 1.Establish a multi-disciplinary team to understand the status of postoperative care of cervical intraspinal tumors through literature review and clinical practice,refine guiding nursing intervention measures,implement expert argumentation and conduct pre-experiments,and form a staged posture management intervention plan.2.A total of 81 patients with cervical intraspinal tumors admitted to the Department of Neurosurgery,Shengjing Hospital Affiliated to China Medical University from June 2020 to December 2020 were selected for this study.Using the random number table method,they were divided into 40 cases in the experimental group and 41 cases in the control group.The experimental group was given stage posture management.By using the cervical intraspinal tumors posture management evaluation record sheet,the symptoms and signs of improper posture in the early postoperative period were evaluated and the posture was adjusted with the anti-deflection air cushion.The control group was given conventional surgery post-position care.The rehabilitation of cervical spine function at 1 week after surgery,the comfort level 72 h after surgery,the pain at the day of surgery,24 h,48h,and 72 h postoperatively,the occurrence of posture-related complications and the use of analgesics were compared between the two groups.3.The cervical spine JOA(Japanese Orthopaedic Association)score was used to assess the rehabilitation of cervical spine function,the Kolcaba comfort status scale(General Comfort Questionnaire,GCQ)was used to assess comfort and the visual analogue scale(Visual Analogue Scale)was used to assess pain.Results: 1.At the end of the experiment,one case was dropped from the control group and a total of 80 patients completed all data collection.There was no statistically significant difference in general information between the two groups of patients(P>0.05).2.There was no significant difference in the JOA score of the cervical spine between the experimental group and the control group before surgery(P>0.05).The JOA score of the cervical spine in the experimental group was higher than that of the control group at 1 week after surgery and the difference was statistically significant(P<0.05).The scores of exercise and bladder function of the experimental group were higher than those of the control group and the difference was statistically significant(P<0.05).The sensory function scores of the experimental group were higher than the control group and the degree of improvement was significant(P<0.01).The cervical spine function of the experimental group was significantly more efficient.Compared with the control group,the difference was statistically significant(P < 0.05).The sensory function was more important than the motor function in the improvement of cervical spine function.3.The comfort score of the experimental group was higher than that of the control group at 72 hours after the surgery and the difference was statistically significant(P<0.05).Among them,the physiological,psychological,and social and cultural dimensions of the experimental group were higher than those of the control group and the difference was statistically significant(P<0.05).Compared with the control group,the environmental dimension scores of the experimental group were not statistically different(P > 0.05).4.On the day of surgery,24 h,48h,72 h after surgery,the pain scores of the experimental group and the control group progressed with time.The difference between groups and time interactions and the group comparison were statistically significant(P<0.05),the decline in pain in the experimental group was greater than that in the control group(P<0.05),and the improvement in pain in the experimental group was better than that of the control group(P<0.05).5.The number of posture-related complications and the use of analgesics in the experimental group were less than those in the control group,and the difference was statistically significant(P<0.05).Conclusion: Staged posture management can promote early postoperative cervical spine function recovery for patients with cervical intraspinal tumors,improve comfort,effectively relieve pain,reduce posture-related complications and reduce the use of analgesics.