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

1.	施華芳, 姜冬九, 李樂之, 等. 病人依從性的研究進展. 中華護理雜志, 2003, 38(2): 134-136.
2.	曾炳芳, 張長青. 創傷骨科新進展. 2 版. 北京: 人民衛生出版社, 2004: 585-827.
3.	謝春意, 劉曉輝, 黃寶婷, 等. 骨科患者早期功能鍛煉的影響因素分析. 國際護理學雜志, 2013, 32(8): 1742-1743.
4.	趙婧. 影響骨科住院患者早期功能鍛煉依從性原因與對策. 中國實用護理雜志, 2015, 31(增刊2): 45.
5.	高麗, 穆紅, 呂穎靜. 關節置換術后患者功能鍛煉依從性狀況及影響因素的調查. 中華現代護理雜志, 2010, 16(34): 4109-4112.
6.	闕纖灃. 綜合性干預對全髖關節置換術患者功能鍛煉依從性的影響. 護理學雜志, 2010, 25(6): 70-71.
7.	丘秀麗, 鐘秀鳳. 家屬同步施教對脊椎骨折患者術后功能鍛煉依從性的影響. 護理實踐與研究, 2013, 10(13): 136-137.
8.	許紅璐, 肖萍, 黃天雯. 臨床骨科專科護理指引. 廣州: 廣東科技出版社, 2013: 30-31.
9.	張遠, 鄢燕, 彭群英, 等. 標準化視頻宣教模式在產科護理中的應用. 護士進修雜志, 2014, 29(14): 1296-1297.
10.	沈克秀. 品管圈活動對提高四肢骨折患者早期功能鍛煉依從性的影響. 護理實踐與研究, 2017, 14(11): 150-152.
11.	曹芳, 尤思佳. 視頻用于腰椎間盤突出癥非手術患者功能鍛煉指導. 護理學雜志, 2011, 26(4): 80-81.
12.	王莉敏, 繆燕, 孔曉明, 等. 視頻教育對自我注射胰島素糖尿病患者手衛生知識和行為的影響. 現代臨床護理, 2015, 14(11): 56-59.
13.	程惠仙, 蔣群花. 脊柱術后圖譜式功能鍛煉指導的效果觀察. 護理實踐與研究, 2014, 11(9): 41-42.
14.	任真年. 現代醫院管理. 北京: 人民軍醫出版社, 2001: 390-410.
15.	林麗賢, 章映麗, 肖瑛, 等. 階段性個體化護理干預對人工髖關節置換患者功能鍛煉依從性的影響. 中華現代護理雜志, 2012, 18(1): 35-38.

1. 施華芳, 姜冬九, 李樂之, 等. 病人依從性的研究進展. 中華護理雜志, 2003, 38(2): 134-136.
2. 曾炳芳, 張長青. 創傷骨科新進展. 2 版. 北京: 人民衛生出版社, 2004: 585-827.
3. 謝春意, 劉曉輝, 黃寶婷, 等. 骨科患者早期功能鍛煉的影響因素分析. 國際護理學雜志, 2013, 32(8): 1742-1743.
4. 趙婧. 影響骨科住院患者早期功能鍛煉依從性原因與對策. 中國實用護理雜志, 2015, 31(增刊2): 45.
5. 高麗, 穆紅, 呂穎靜. 關節置換術后患者功能鍛煉依從性狀況及影響因素的調查. 中華現代護理雜志, 2010, 16(34): 4109-4112.
6. 闕纖灃. 綜合性干預對全髖關節置換術患者功能鍛煉依從性的影響. 護理學雜志, 2010, 25(6): 70-71.
7. 丘秀麗, 鐘秀鳳. 家屬同步施教對脊椎骨折患者術后功能鍛煉依從性的影響. 護理實踐與研究, 2013, 10(13): 136-137.
8. 許紅璐, 肖萍, 黃天雯. 臨床骨科專科護理指引. 廣州: 廣東科技出版社, 2013: 30-31.
9. 張遠, 鄢燕, 彭群英, 等. 標準化視頻宣教模式在產科護理中的應用. 護士進修雜志, 2014, 29(14): 1296-1297.
10. 沈克秀. 品管圈活動對提高四肢骨折患者早期功能鍛煉依從性的影響. 護理實踐與研究, 2017, 14(11): 150-152.
11. 曹芳, 尤思佳. 視頻用于腰椎間盤突出癥非手術患者功能鍛煉指導. 護理學雜志, 2011, 26(4): 80-81.
12. 王莉敏, 繆燕, 孔曉明, 等. 視頻教育對自我注射胰島素糖尿病患者手衛生知識和行為的影響. 現代臨床護理, 2015, 14(11): 56-59.
13. 程惠仙, 蔣群花. 脊柱術后圖譜式功能鍛煉指導的效果觀察. 護理實踐與研究, 2014, 11(9): 41-42.
14. 任真年. 現代醫院管理. 北京: 人民軍醫出版社, 2001: 390-410.
15. 林麗賢, 章映麗, 肖瑛, 等. 階段性個體化護理干預對人工髖關節置換患者功能鍛煉依從性的影響. 中華現代護理雜志, 2012, 18(1): 35-38.

West China Medical Journal

Compliance improvement of rehabilitation exercise for patients after spine surgery

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