追踪随访对日间细银质针导热松解术后患者康复的影响*

Effects of follow-up on the recovery of patients undergoing thin silver needle heat conduction in ambulatory surgery center

摘要:

目的：观察追踪随访对日间细银质针导热术后患者康复的影响。方法：选取我院2017年8月-2018年8月肌筋膜炎患者120例，随机均分为追踪随访组（F组）和对照组（C组）。两组均于日间手术中心行细银质针导热松解术。C组术后常规护理，出院前常规宣教，出院后14日内常规随访；F组术后除常规护理和随访外，细化随访方式，记录详细联系电话，建立随访微信群，并向患者宣讲慢性疼痛长期治疗的必要性，提高术后药物治疗依从性；指导患者进行康复锻炼、肌群功能训练、肌力训练等；解答患者术后康复问题。评估两组患者出院后1周、1个月、3个月时的VAS、PSQI、SF-36、GSES、HPLP-Ⅱ和护理满意度，记录可能的并发症。结果：两组患者的术前一般情况无明显差异(P＞0.05）。两组患者术后1m和3m时的VAS、PSQI明显低于，SF-36、GSES、HPLP-Ⅱ明显高于术前基础值(P＜0.05)。两组患者术后1w时的VAS、PSQI、SF-36、GSES、HPLP-Ⅱ和护理满意度无显著差异，但F组术后1m和3m时的VAS、PSQI明显低于，SF-36、GSES、HPLP-Ⅱ和护理满意度明显高于C组（P＜0.05）。两组均未发生严重手术并发症。结论：追踪随访有利于改善日间细银质针导热松解术后患者的病情和生活质量，是提高日间手术患者护理水平的有效途径。

Abstract:

Abstract Objective: To evaluate the effect of follow-up on the rehabilitation of patients undergoing thin silver needle heat conduction in ambulatory surgery center. Methods: One hundred and twenty patients with myofasciitis in our hospital from August 2017 to August 2018 were randomly and equally divided into follow-up group (group F) and control group (group C). Both groups underwent thin silver needle heat conduction at the ambulatory surgery center. The patients of group C had routine postoperative care, routine pre-discharge education, and routine follow-up within 14 days after discharge; The patients of group F, in addition to routine care and follow-up, were received the refined follow-up method, and were recorded detailed contact telephone numbers, established a follow-up WeChat group, and educated about the necessity of long-term treatment of chronic pain and were improved compliance with postoperative medication. The nurses instructed patients to perform rehabilitation exercises, functional training of muscle groups, muscle strength training, etc., and answer patients' questions about postoperative rehabilitation. The VAS, PSQI, SF-36, GSES, HPLP-II, and nursing satisfaction were evaluated at 1 week, 1 month, and 3 months after discharge in both groups, and the complications, if any, were recorded. Results: There was no significant difference in the preoperative general condition of both groups (P>0.05). The VAS and PSQI at 1month and 3month postoperatively were significantly lower, and SF-36, GSES, and HPLP-II were significantly higher than the preoperative basal values in both groups (P<0.05). There was no significant difference in VAS, PSQI, SF-36, GSES, HPLP-II and nursing satisfaction at 1 week postoperatively between both groups, but the VAS, PSQI at 1 month and 3 months postoperatively in group F was significantly lower, and the SF-36, GSES, HPLP-II and nursing satisfaction were significantly higher than those in group C (P<0.05). No serious complications occurred in both groups. Conclusion: Follow-up is beneficial to improve the condition and quality of life of patients undergoing thin silver needle conduction therapy and is an effective way to improve the level of care of patients undergoing ambulatory surgery.