The applying of positive reinforcement theory of nursing in the cervical spine orthopedic rehabilitation patients
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摘要: 目的 探讨正强化理论护理在骨科颈椎康复患者中的应用方法与效果,为正强化理论护理的推广应用提供参考。 方法 2013年8月-2015年7月选择北京大学第三医院收治的颈椎病术后患者1 500例,根据随机抽签原则分为观察组750例与对照组750例,对照组给予常规护理干预,观察组在对照组康复的基础上给予正强化理论护理干预,2组患者院内康复观察周期为2周,观察2组预后恢复情况。 结果 观察组与对照组康复后的疼痛评分分别为1.22±0.34和2.86±0.45,都明显低于康复前的6.89±0.26和6.91±0.45(均P<0.05);观察组与对照组康复后的日常生活能力评分分别为69.44±9.13和62.42±9.14,都明显高于康复前的 57.24±8.44和57.94±9.41(P<0.05),同时组间对比差异均有统计学意义(均P<0.05)。康复后观察组与对照组的总有效率分别为97.3%和84.0%,观察组的有效率明显高于对照组(P<0.05)。 结论 正强化理论护理应用于骨科颈椎康复患者,能促进颈椎关节活动度的改善,有效缓解患者的疼痛,提高日常生活能力,促进颈椎关节活动度的改善,从而有利于总体疗效的提高。Abstract: Objective To investigate the applying values of positive reinforcement theory of nursing in the cervical spine orthopedic rehabilitation patients to provide reference for the popularization and application of positive reinforcement theory. Methods A total of 1 500 postoperative cervical spondylosis rehabilitation patients registered in our hospital from August,2013 to July,2015 were selected and randomly divided into the observation group and control group,with 750 cases in each group.The control group received conventional intervention,while the observation group was added the positive reinforcement theory of nursing.The rehabilitation observation periods were two weeks,and the prognosis of recovery was observed. Results The pain scores of the two groups after rehabilitation were (1.22±0.34) points and (2.86±0.45) points (P<0.05) which were significantly lower than the (6.89±0.26) points and (6.91±0.45) points before rehabilitation;the activities of daily living scores in the observation group and control group after rehabilitation were (69.44±9.13) points and (62.42±9.14) points (P<0.05) that were significantly higher than before rehabilitation of (57.24±8.44) points and (57.94±9.41) points.Meanwhile,the comparison between two groups were all statistically significant (P<0.05).The total effective rates in the observation group and the control group after rehabilitation were 97.3% and 84.0% respectively that the observation group were significantly were higher (P<0.05). Conclusion Positive reinforcement theory of rehabilitation care in the patient's cervical spine orthopedic applications can effectively relieve the patient's pain and improve daily living skills,promote the improvement of the cervical range of motion,and thus help to improve the overall efficacy.
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Key words:
- Positive reinforcement theory /
- Massage /
- Cervical spondylosis /
- Rehabilitation
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