| Objective:To evaluate the impact of comprehensive rehabilitation nursing on opera tive patients with lumbar disc herniation, guide clinical treatment better, promote re habilitation of patients, enhance the curative effect.Method:This study selected lumbar disc herniation patients in line with the diagnos is and inclusion criterion from the first hospital of Jilin University between January 2014 to December 2014. The patients were divided into intervention group (n=30) a nd control group (n=34). The control group received routine care. The intervention g roup received comprehensive rehabilitation nursing intervention treatment with fuction al exercise and psychological intervention at the core. Knowing the symptoms and si gns of the patients was by means of clinical follow-up, telephone contact and in the form of the questionnaire. The survey tools include Demographic Data Recording F orm, Oswestry Disability Index, Japanese Orthopaedic Association, Visual Analogue S cale and Self-Rating Depression Scale. ODI, JOA, VAS and SDS were applied betw een two groups in this study 3 days before operation,10 days after operation,1 mo nths after operation and 3 months after operation.Results:(1) There were no significant differences between the intervention group and the con trol group in general information and disease related information (P>0.05);(2) The difference of the total score of ODI score was significant between the inter vention group and the control group (P< 0.001). The results indicated that the interve ntion group had better physical function than the control group;(3) The JOA score of the intervention group was much higher than that of the cont rol group, and there were significant differences between them (P<0.05);(4) Both VAS score of leg pain and VAS score of lumbar pain were significant d ifferences between the intervention group and the control group (P<0.05). The VAS score of leg pain were significantly less in the intervention group than the control group (P<0.001);(5) The difference of the SDS score was significant between intervention group and the control group (p<0.05), which indicated that the depression after operation was si gnificantly less in the intervention group than the control group.Conclusion:This study shows that comprehensive rehabilitation nursing could acquire better improvements in physical function, pain intensity and psychological state than t he traditional rehabilitation nursing treatment. Therefore Comprehensive rehabilitation n ursing is an effective approach in improving the physiology and psychology of operati ve patients with lumbar disc herniation. |
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