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目的：探讨“五步起床法”对脊柱疾病患者术后康复的影响。方法随机将患者分为两组，研究组实施“五步起床法”护理干预，对照组实施脊柱外科常规护理指导。观察两组患者初次起床搀扶人数、切口疼痛、晕厥、安全感、术后第一次排大便的时间情况及患者满意度。结果研究组在初次起床搀扶人数、切口疼痛、晕厥方面明显低于对照组(<0.05)，安全感及患者满意度明显高于对照组(<0.05)，术后胃肠功能恢复较对照组明显提前(<0.05)。结论实施“五步起床法”护理干预，可以明显降低患者卧床时间及初次起床时的不适感，并预防静脉血栓的形成，利于患者早日康复，减少平均住院日。“,”Objective To evaluate the effect of“five-step method”nursing intervention on postoperative rehabilitation in patients withspinaldiseases. Methods Patients withspinaldiseaseswere randomly divided into two groups.Patients in the the intervention group were treated with“five-step method”nursing intervention,and patients in the control group treated with conventional nursing care.The number of nurses for the first time to get up,incision pain,syncope,sense of security,time of having a passage for the first time postoperatively,and satisfactory degree of all patient s were observed.Results Compared with control group,the intervention group were significantly less number of nurses for the first time to get up,incision pain,andsyncope (P<0.05).Sense of security and patients satisfactory degree were significantly higher in the intervention group ( <0.05).There was significantly faster recovery of gastrointestinal function in the intervention group ( <0.05).Conclusion “five-step method”nursing intervention is helpful in reducing in-bed time anddiscomfortablenessof getting up for the first time,preventing the formation of venous thrombosis,accelerating recovery of patients,and reducing the average hospitalization time.