Han'e Yue1, Xianli Liu2. 1. Department of Social Services, Wuhan Fourth Hospital Wuhan, Hubei Province, China. 2. Department of Spine Surgery, Wuhan Fourth Hospital Wuhan, Hubei Province, China.
Abstract
OBJECTIVE: To explore the effect of timeliness incentive nursing on postoperative rehabilitation of patients with cervical spondylotic myelopathy (CSM). METHODS: a total of 104 CSM patients treated in our hospital were recruited, who were evenly divided into two groups according to a random number table method. The control group was given routine nursing, and the research group was given timeliness incentive nursing based on routine nursing. The out-of-bed activity time after surgery, the length of hospital stay, the visual analog scale (VAS) scores before and after intervention, the Japanese Orthopedic Association (JOA) scores, the cervical spine range of motion (ROM), changes of quality of life (QOL), complications, and nursing satisfaction were compared between the two groups. RESULTS: After intervention, the out-of-bed activity time and length of hospital stay in the research group were significantly shorter than those of the control group (P<0.001). Compared with before intervention, VAS scores were significantly decreased, while JOA scores and ROM were both considerably increased after intervention in both groups (P<0.001). Of note, the improvement in the research group was more significant compared with the control group. The incidence of complications of the research group was remarkably lower than that of the control group (P<0.05). Compared with before intervention, physiological functions, physiological and emotional responsibilities, social function, mental health, energy, and overall health scores were all significantly increased after intervention in both groups, whereas the physical pain was significantly decreased (P<0.001), and these measures of the research group were higher than those of the control group. The nursing satisfaction in the research group was notably higher than that of the control group (P<0.05). CONCLUSION:Timeliness incentive nursing can effectively improve postoperative rehabilitation of patients with CSM, reduce the pain, decrease the incidence of complications, improve the QOL, and increase nursing satisfaction. AJTR
RCT Entities:
OBJECTIVE: To explore the effect of timeliness incentive nursing on postoperative rehabilitation of patients with cervical spondylotic myelopathy (CSM). METHODS: a total of 104 CSM patients treated in our hospital were recruited, who were evenly divided into two groups according to a random number table method. The control group was given routine nursing, and the research group was given timeliness incentive nursing based on routine nursing. The out-of-bed activity time after surgery, the length of hospital stay, the visual analog scale (VAS) scores before and after intervention, the Japanese Orthopedic Association (JOA) scores, the cervical spine range of motion (ROM), changes of quality of life (QOL), complications, and nursing satisfaction were compared between the two groups. RESULTS: After intervention, the out-of-bed activity time and length of hospital stay in the research group were significantly shorter than those of the control group (P<0.001). Compared with before intervention, VAS scores were significantly decreased, while JOA scores and ROM were both considerably increased after intervention in both groups (P<0.001). Of note, the improvement in the research group was more significant compared with the control group. The incidence of complications of the research group was remarkably lower than that of the control group (P<0.05). Compared with before intervention, physiological functions, physiological and emotional responsibilities, social function, mental health, energy, and overall health scores were all significantly increased after intervention in both groups, whereas the physical pain was significantly decreased (P<0.001), and these measures of the research group were higher than those of the control group. The nursing satisfaction in the research group was notably higher than that of the control group (P<0.05). CONCLUSION: Timeliness incentive nursing can effectively improve postoperative rehabilitation of patients with CSM, reduce the pain, decrease the incidence of complications, improve the QOL, and increase nursing satisfaction. AJTR
Authors: Jiolanda Zika; George A Alexiou; Sotirios Giannopoulos; Ioannis Kastanioudakis; Athanasios P Kyritsis; Spyridon Voulgaris Journal: J Spinal Cord Med Date: 2018-07-24 Impact factor: 1.985
Authors: Michael G Fehlings; Lindsay A Tetreault; K Daniel Riew; James W Middleton; Bizhan Aarabi; Paul M Arnold; Darrel S Brodke; Anthony S Burns; Simon Carette; Robert Chen; Kazuhiro Chiba; Joseph R Dettori; Julio C Furlan; James S Harrop; Langston T Holly; Sukhvinder Kalsi-Ryan; Mark Kotter; Brian K Kwon; Allan R Martin; James Milligan; Hiroaki Nakashima; Narihito Nagoshi; John Rhee; Anoushka Singh; Andrea C Skelly; Sumeet Sodhi; Jefferson R Wilson; Albert Yee; Jeffrey C Wang Journal: Global Spine J Date: 2017-09-05