Compliance improvement of rehabilitation exercise for patients after spine surgery_West China Medical Journal

Authors：

XIAO Ping ,  HUANG Tianwen , FANG Lixuan , PENG Xiaoqiong , DENG Lijun

Department of Spine Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, P. R. China;

Corresponding author：

HUANG Tianwen, Email: huangtwen@126.com

Keywords：

Spine surgery; Functional exercise; Compliance; Quality improvement

DOI：

10.7507/1002-0179.201707174

Video：

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Objective To explore the compliance improvement of rehabilitation exercise for patients after spine surgery. Methods Forty-nine in-patients who underwent spinal surgery between June 1st and July 14th 2016 were selected as the control group and 50 in-patients who underwent spinal surgery between July 15th and August 30th 2016 were selected as the trial group. The control group received conventional nursing for rehabilitation exercise, and the tiral group adopted a series of quality improvement measures for rehabilitation exercise. The compliance of functional exercise, the accuracy of patients’ exercise and the satisfaction with health education of the patients were compared between the two groups. Results The functional exercise compliance in the trial group (complete compliance in 45 cases, partial compliance in 4 cases, non-compliance in 1 case) was higher than that in the control group (complete compliance in 9 cases, partial compliance in 34 cases, non-compliance in 6 cases) with a statistical difference (Z=–6.910, P<0.001). The functional exercise accuracy rate of patients was higher in the trial group [84.00%(168/200)] than that in the control group [53.06% (104/196)] with a statistical difference (χ²=44.060, P<0.001). The patients’ satisfaction with health education in the trial group (4.64±0.49) was higher than that in the control group (4.20±0.89) with a statistical difference (t=3.084, P=0.003). Conclusion The implementation of nursing quality improvement intervention can improve the compliance and accuracy rate of rehabilitation functional exercise of patients undergoing spinal surgery, and improve the satisfaction of patients, which is worth promoting.

Citation： XIAO Ping, HUANG Tianwen, FANG Lixuan, PENG Xiaoqiong, DENG Lijun. Compliance improvement of rehabilitation exercise for patients after spine surgery. West China Medical Journal, 2017, 32(9): 1343-1346. doi: 10.7507/1002-0179.201707174 Copy

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1. 施华芳, 姜冬九, 李乐之, 等. 病人依从性的研究进展. 中华护理杂志, 2003, 38(2): 134-136.
2. 曾炳芳, 张长青. 创伤骨科新进展. 2 版. 北京: 人民卫生出版社, 2004: 585-827.
3. 谢春意, 刘晓辉, 黄宝婷, 等. 骨科患者早期功能锻炼的影响因素分析. 国际护理学杂志, 2013, 32(8): 1742-1743.
4. 赵婧. 影响骨科住院患者早期功能锻炼依从性原因与对策. 中国实用护理杂志, 2015, 31(增刊2): 45.
5. 高丽, 穆红, 吕颖静. 关节置换术后患者功能锻炼依从性状况及影响因素的调查. 中华现代护理杂志, 2010, 16(34): 4109-4112.
6. 阙纤沣. 综合性干预对全髋关节置换术患者功能锻炼依从性的影响. 护理学杂志, 2010, 25(6): 70-71.
7. 丘秀丽, 钟秀凤. 家属同步施教对脊椎骨折患者术后功能锻炼依从性的影响. 护理实践与研究, 2013, 10(13): 136-137.
8. 许红璐, 肖萍, 黄天雯. 临床骨科专科护理指引. 广州: 广东科技出版社, 2013: 30-31.
9. 张远, 鄢燕, 彭群英, 等. 标准化视频宣教模式在产科护理中的应用. 护士进修杂志, 2014, 29(14): 1296-1297.
10. 沈克秀. 品管圈活动对提高四肢骨折患者早期功能锻炼依从性的影响. 护理实践与研究, 2017, 14(11): 150-152.
11. 曹芳, 尤思佳. 视频用于腰椎间盘突出症非手术患者功能锻炼指导. 护理学杂志, 2011, 26(4): 80-81.
12. 王莉敏, 缪燕, 孔晓明, 等. 视频教育对自我注射胰岛素糖尿病患者手卫生知识和行为的影响. 现代临床护理, 2015, 14(11): 56-59.
13. 程惠仙, 蒋群花. 脊柱术后图谱式功能锻炼指导的效果观察. 护理实践与研究, 2014, 11(9): 41-42.
14. 任真年. 现代医院管理. 北京: 人民军医出版社, 2001: 390-410.
15. 林丽贤, 章映丽, 肖瑛, 等. 阶段性个体化护理干预对人工髋关节置换患者功能锻炼依从性的影响. 中华现代护理杂志, 2012, 18(1): 35-38.

West China Medical Journal

Compliance improvement of rehabilitation exercise for patients after spine surgery

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