摘要: 目的：探討路徑式多途徑健康宣教在脊柱骨折術(shù)后護(hù)理中的應(yīng)用價(jià)值。方法：選取脊柱骨折病人84例作為研究對(duì)象，隨機(jī)分為觀察組與對(duì)照組，各42例。2組均采取經(jīng)后路脊柱椎弓根系統(tǒng)復(fù)位固定聯(lián)合脊柱融合術(shù)。術(shù)后觀察組予以路徑式多途徑健康宣教，對(duì)照組予以常規(guī)健康宣教。比較2組術(shù)后并發(fā)癥總發(fā)生率、首次功能鍛煉時(shí)間、住院時(shí)間、自我護(hù)理技能達(dá)標(biāo)率以及出院時(shí)、出院1個(gè)月、3個(gè)月的脊髓獨(dú)立功能評(píng)分。結(jié)果：觀察組術(shù)后并發(fā)癥總發(fā)生率為9.52%，低于對(duì)照組的26.19%（P<0.05）。觀察組住院時(shí)間、首次功能鍛煉時(shí)間均明顯短于對(duì)照組（P<0.01）。觀察組各項(xiàng)自我護(hù)理技能達(dá)標(biāo)率均高于對(duì)照組（P<0.05）。觀察組出院時(shí)、出院1個(gè)月、3個(gè)月時(shí)的脊髓獨(dú)立功能評(píng)分均高于低于對(duì)照組（P<0.05~P<0.01）。結(jié)論：脊柱骨折病人術(shù)后采取路徑式多途徑健康宣教可減少并發(fā)癥，促進(jìn)病人早期功能鍛煉并提高出院后的自我護(hù)理能力，促進(jìn)脊柱功能的更佳恢復(fù)。

Abstract: Objective:To explore the application value of multi-approach health education in postoperative patients with spinal fractures.Methods:Eighty-four patients with spinal fractures were randomly divided into the observation group and control group(42 cases each group).Two groups were treated with posterior transpedicular system reduction and fixation combined with spinal fusion.After surgery,the multi-approach health education and routine health education were implemented in observation group and control group,respectively.The total incidence rate of postoperative complications,time of initial functional exercise,length of hospital stay,compliance rate of self-care skills,and spinal cord independent function scores at discharge,after 1 month and 3 months of discharge between two groups were compared.Results:The total incidence rate of complications in observation group(9.52%) was lower than that in control group(26.19%) (P<0.05).The length of hospital stay and time of initial functional exercise in observation group were significantly shorter than those in control group(P<0.01).The compliance rate of self-care skills in observation group was higher than that in control group(P<0.05).At discharge,after 1 month and 3 months of discharge,the scores of the spinal cord independent function in observation group were higher than those in control group(P<0.05 to P<0.01).Conclusions:The application of multi-approach health education in patients with spinal fractures after surgery can reduce the complications,promote early functional exercise,improve the self-care abilities of patients after discharge,and promote the recovery of spinal function.

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