目的: 探讨基于评估-沟通-监测-患者-环境(Assessment-Communication-Monitoring-Patient-Environment, ACMPE)的护理管理联合核心稳定肌群训练对腰椎骨折术后康复效果的影响。方法: 选取紫云苗族布依族自治县人民医院2023年3月-2024年5月期间收治的104例腰椎骨折患者,并将其分为干预组和对照组,对照组给予常规康复训练,干预组在常规康复训练基础上给予基于ACMPE的护理管理联合核心稳定肌群训练,比较两组患者术后即刻及术后7 d、30 d、90 d 魁北克腰痛障碍评分(QBPDS)、Oswestry功能障碍指数(ODI)、日本骨科协会评估治疗分数(JOA)、日常生活能力评分(ADL)及康复满意度。结果: 术后即刻两组QBPDS、ODI、JOA、ADL评分差异无显著性(P＞0.05),术后7 d、30 d、90 d干预组QBPDS、ODI评分均低于对照组,JOA、ADL评分高于对照组(P＜0.05)。术后90 d,干预组康复满意率为94.23%,高于对照组80.77%(P＜0.05)。结论: 腰椎骨折术后患者给予基于ACMPE模式的护理管理联合核心稳定肌群训练可以有效缓解疼痛,改善腰椎功能,提高患者日常生活能力及对康复的满意度。
Objective: To explore the effect of nursing management based on Assessment-Communication-Monitoring-Patient-Environment (ACMPE) combined with core stable muscle group training on postoperative rehabilitation of lumbar fracture. Methods: A total of 104 patients with lumbar fractures admitted to Ziyun Miao and Buyi Autonomous County People's Hospital from March 2023 to May 2024 were selected. and they were divided into an intervention group and a control group. The control group received routine rehabilitation, whereas the intervention group received additional ACMPE-based nursing management combined with core stable muscle group training. The Quebec Back Pain Disability Scale (QBPDS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), activities of daily living (ADL) immediately after operation and 7 d, 30 d and 90 d after operation, and rehabilitation satisfaction were compared between the two groups. Results: There was no significant difference in QBPDS, ODI, JOA and ADL scores between the two groups immediately after operation (P＞0.05). The QBPDS and ODI scores of the intervention group were lower than those of the control group at 7 d, 30 d and 90 d after operation, and the JOA and ADL scores were higher than those of the control group (P＜0.05). At 90 days after operation, the rehabilitation satisfaction rate of the intervention group was 94.23%, which was higher than 80.77% of the control group (P＜0.05). Conclusion: ACMPE-based nursing management combined with core stable muscle group training can effectively relieve pain, improve lumbar function, improve patients' daily living ability and satisfaction with rehabilitation.
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