Effect of personalized nursing based on ADL score on patients with lumbar spinal stenosis treated with UBE
ADL评分的个性化护理对UBE治疗的腰椎管狭窄症患者的影响

摘要

目的 分析ADL评分的个性化护理对接受单侧双通道内镜（UBE）治疗的腰椎管狭窄症患者的影响。方法 选择于2022年1月-2024年12月期间内收治的50例腰椎管狭窄症患者作为研究对象，并按照随机数字表法将其均分为两组，即对照组和观察组，每组各25例。对照组患者接受常规护理干预，而观察组则在相同基础护理的前提下，实施以日常生活活动能力（ADL评分）评估为依据的个性化护理方案。比较两组患者的腰椎功能、日常生活活动能力及生活质量，评估不同护理模式的效果。结果 护理前，两组在腰椎功能及日常生活活动能力方面评分相近，差异无统计学意义（P＞0.05）。护理实施后，观察组在JOA评分的主观症状、临床体征以及日常活动受限等子项得分均优于对照组（P＜0.05）。同时，观察组的ADL评分也显著高于对照组（P＜0.05），且其生活质量各维度评分均高于对照组（P＜0.05）。结论 以ADL评分为基础制定的个性化护理方案能够有效促进接受UBE手术治疗的腰椎管狭窄症患者的康复进程，有助于改善腰椎功能，提升日常生活自理能力和整体生活质量。有较高应用价值。

Abstract

Objective To analyze the effect of personalized nursing based on ADL score on patients with lumbar spinal stenosis treated with unilateral double-channel endoscopy (UBE).
Methods Fifty patients with lumbar spinal stenosis admitted from January 2022 to December 2024 were selected as the research subjects and divided into two groups, namely the control group and the observation group, with 25 cases in each group, according to the random number table method. The patients in the control group received routine nursing intervention, while the observation group implemented a personalized nursing plan based on the assessment of daily living activities (ADL score) under the premise of the same basic nursing. The lumbar function, daily living activities and quality of life of the two groups of patients were compared to evaluate the effects of different nursing models.
Results Before nursing, the scores of lumbar function and daily living activities of the two groups were similar, and there was no statistically significant difference (P＞0.05). After the implementation of nursing, the observation group had better scores in the subjective symptoms, clinical signs, and daily activity limitation of the JOA score than the control group (P < 0.05). At the same time, the ADL score of the observation group was significantly higher than that of the control group (P < 0.05), and the scores of all dimensions of quality of life were higher than those of the control group (P < 0.05).
Conclusion   The personalized nursing plan based on the ADL score can effectively promote the rehabilitation process of patients with lumbar spinal stenosis undergoing UBE surgery, help improve lumbar function, and enhance daily self-care ability and overall quality of life. It has high application value.