Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2026; 5: (2) ; 10.12208/j.jmnm.20260081 .
总浏览量: 44
解放军第971医院 山东青岛
*通讯作者： 陈静,单位：解放军第9医院 山东青岛；
目的 构建“生物力学适配”术后体位护理模式，探究其对脊柱手术患者疼痛缓解、脊柱功能恢复及并发症防控的影响。方法 选取2024年6月至12月骨科行脊柱手术的60例患者，随机分为对照组（30例，常规体位护理）与实验组（30例，精准体位护理），干预周期4周。对照组予基础体位指导，实验组实施“评估-适配-动态调整”体位干预。结果 实验组VAS评分低于对照组，JOA评分高于对照组，并发症发生率低于对照组（P＜0.05）。结论 精准体位护理可优化脊柱术后恢复效果，具备临床推广价值。
Objective To establish a "biomechanical adaptation" postoperative positioning care model and investigate its effects on pain relief, spinal function recovery, and complication prevention in spinal surgery patients. Methods Sixty patients undergoing spinal surgery in the orthopedics department from June to December 2024 were randomly divided into a control group (30 cases, conventional positioning care) and an experimental group (30 cases, precision positioning care), with a 4-week intervention period. The control group received basic positioning guidance, while the experimental group underwent "assessment-adaptation-dynamic adjustment "positioning intervention. Results The experimental group showed lower Visual Analogue Scale (VAS) scores, higher Joint Osteoarthritis (JOA) scores, and a lower complication incidence rate compared to the control group (P<0.05). Conclusion Precision positioning care can optimize postoperative recovery outcomes in spinal surgery patients and holds clinical promotion value.
[1] 杜延英.脊柱后路手术患者的体位护理措施[J].中国城乡企业卫生,2024,39(2):174-176.
[2] 思宇刘,立波程,欢欢李,等.护理干预在强直性脊柱炎后路手术体位护理中的应用分析[J].临床医学与护理,2024, 2(2):112.
[3] 周逸娴,李贞,张嘉怡.压疮护理小组配合凝胶体位垫干预预防长时间侧卧位脊柱手术患者压力性损伤的临床效果[J].齐鲁护理杂志,2023,29(20):74-77.
[4] 陈秋媚,陈洁,杨珍,等.单侧双通道脊柱内镜围手术期护理标准作业程序的构建及应用[J].国际神经精神科学杂志,2025,14(3):8.
[5] 余文静,周文娟,邢路瑶,等.脊柱侧凸畸形患者行后入路矫形术体位管理的最佳证据总结[J].护理学杂志,2024, 39(15):41-46.
[6] 努尔黑沙木,常玉萍.脊柱全麻手术后并发症的护理预防与并发症处理及功能恢复[J].护理学,2025,14(6):8.
[7] 袁荣娟.体位规范化护理在全麻俯卧位脊柱后路手术患者中的应用效果[J].今日健康,2025(2).
[8] 李月梅.脊柱手术患者的日常护理与生活管理指南[J].健康时尚,2025(1).