CAJ | 학술논문

目的探讨新型颈椎术后专用枕在颈椎病术后早期患者护理中的应用效果.方法将350例颈椎病术后早期患者按随机数字法分为对照组和实验组各175例,对照组使用普通卧位枕,实验组使用专用枕.观察对比两组患者的呼吸状态、头颈部舒适度、心理状态、睡眠质量、吞咽情况、切口疼痛情况、术后并发症及平均住院日等指标.结果两组患者的呼吸不顺畅及术后并发症比较,差异有统计学意义(P＜0.05);对照组吞咽困难130例,切口疼痛115例,头颈部不舒适175例,睡眠质量下降137例,实验组分别为87例,68例,62例,72例,两组比较差异有统计学意义(x2分别为22.4,25.3,166.9,50.2;P＜0.01);对照组心理紧张、焦虑175例,实验组83例,两组比较差异有统计学意义(x2=124.8,P＜0.01).结论新型颈椎术后专用枕明显改善了患者的舒适度,保证了患者的身心健康,提高了护理质量,值得临床推广使用.
목적 탐토신형경추술후전용침재경추병술후조기환자호리중적응용효과.방법 장350례경추병술후조기환자안수궤수자법분위대조조화실험조각175례,대조조사용보통와위침,실험조사용전용침.관찰대비량조환자적호흡상태、두경부서괄도、심리상태、수면질량、탄인정황、절구동통정황、술후병발증급평균주원일등지표.결과 량조환자적호흡불순창급술후병발증비교,차이유통계학의의(P＜0.05);대조조탄인곤난130례,절구동통115례,두경부불서괄175례,수면질량하강137례,실험조분별위87례,68례,62례,72례,량조비교차이유통계학의의(x2분별위22.4,25.3,166.9,50.2;P＜0.01);대조조심리긴장、초필175례,실험조83례,량조비교차이유통계학의의(x2=124.8,P＜0.01).결론 신형경추술후전용침명현개선료환자적서괄도,보증료환자적신심건강,제고료호리질량,치득림상추엄사용.
Objective To explore the effect of the new type of pillow specially for cervical vertebra postoperative patients.Methods Totals of 350 cervical spondylosis postoperative patients were recruited and randomly divided into control group and experimental group,with 175 cases in each group.Patients in control group used the common pillow,while experimental group used the new type of pillow specially for cervical spondylosis postoperative patients.Then,the breath state,head and neck comfort level,mental state,sleep quality,swallowing situation,incision pain situation,postoperative complications and average length of stay in hospital of all patients were observed.Results There was significantly difference in the postoperative complications and breathing disorden between two groups ( P ＜ 0.05 ).Among 175 cases of control group,130 cases had dysphagia,115 cases had incision pain,175 cases had head and neck uncomfortable,137 cases had lower sleep quality,and that in experimental group,respectively,was 87 cases,68 cases,62 cases,72 cases,and the difference was statistically significant (x2 =22.4,25.3,166.9,50.2,respectively;P ＜0.01).All cases in control group had mental tension and anxiety,while 83 cases in experimental group,and the difference was statistically significant (x2 =124.8,P ＜ 0.01 ).Conclusions The new type of pillow specially for cervical spondylosis postoperative patients can effectively improve the comfort level of patients,ensure their physical and mental health,improve the nursing quality,and is worthy of clinical use.