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[目的]研究运用ODI评分系统对腰椎术后患者实施个体化护理实践的效果。[方法]选取腰椎退变性疾病患者240例,随机分为两组。两组术前及术后下床首日、出院当日及术后1个月均给予Oswestry功能障碍指数(Oswestry disability index,ODI)评分。常规组给予常规护理,个性化组患者入院时、术后下床首日、出院时、术后1个月,分别对患者进行评分,根据评分实施个体化护理。出院1个月后门诊随访。比较两组患者的ODI总分、各个维度及优良率。[结果]个性化组ODI总分及各维度(疼痛、行走、站立、社会能力、旅行)评分比较在术后下床首日、出院日、术后1个月均低于常规组,差异有统计学意义。术后1个月优良率个性化组91.2%,常规组83.3%,差异有统计学意义。[结论]根据ODI评分实施的个体化护理,提高了患者康复锻炼的依从性,可促进腰椎间盘术后患者的快速康复。
[Objective] To study the effect of using ODI scoring system to implement personalized nursing practice in patients with lumbar spine surgery. [Method] 240 patients with lumbar degenerative disease were randomly divided into two groups. The Oswestry disability index (ODI) scores were given on the first day of surgery and on the first postoperative day, both on the day of discharge and one month after surgery. The patients in the routine group were given routine nursing care. The individualized patients were admitted to hospital, the first day of bed fall, the time of discharge, and one month after operation. The patients were individually scored and individualized nursing was performed according to the scores. Outpatient follow-up after 1 month from discharge. The ODI score, each dimension and the rate of good and bad were compared between the two groups. [Results] The scores of ODI scores and all dimensions (pain, walking, standing, social ability, travel) in the personalized group were lower than those in the conventional group on the first day after the operation, on the discharge day and 1 month after operation Statistical significance. At 1 month after operation, the rate of excellent and good patients was 91.2% in the specialization group and 83.3% in the conventional group, the difference was statistically significant. [Conclusion] Individualized nursing based on ODI score can improve the compliance of patients' rehabilitation exercise and promote rapid rehabilitation of patients after lumbar disc surgery.