目的：探讨综合护理干预对非手术治疗腰椎管狭窄症患者的影响。方法选取广西医科我院脊柱外科非手术治疗腰椎间盘狭窄症住院患者60例，按住院号尾数随机分组，单号为干预组，双号为对照组，每组各30例。对照组按脊柱外科住院患者常规护理；干预组的患者在治疗各阶段进行功能障碍指数评估（ODI）、视觉模拟疼痛评分（VAS）、医院焦虑抑郁量评分（HADS），根据评分结果进行护理分级，制订相应的分级护理干预并实施。在治疗过程中根据评分结果适时更改护理干预级别并实施分级护理干预，观察临床护理效果。结果通过综合护理干预，干预组的患者ODI、VAS和HAD分值均明显下降（均P＜0.01）。结论综合护理干预可使护理疗效明显提高，患者间歇性跛行得到缓解、减少疼痛、降低心理压力，有利于患者的功能恢复。%Objective To explore the impact of integrated care intervention on nonoperative treated patients with lumbar spinal stenosis. Methods 60 cases of lumbar spinal stenosis randomly divided into interventional group (30 cases) and control group (30 cases) according the number of hospitalized. Control group received spine surgery nursing routine. Interventional group received integrated care intervention. Each patient was assessed by oswestry disability index (ODI), visual analogue scale (VAS) and hospital anxiety and depression scale(HAD) during treatment of various stages. Integrated care intervention was implemented and modulated according to the scores. Clinical nursing effect was observed. Results The ODI, VAS and HAD scores of interventional group were decreased through integrated care intervention. P<0.01, clinical nursing effect improved. Conclusions Integrated care intervention benefits relief of symptoms, pain and psychological pressures. Patients get faster functional recovery.
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