Investigation on the status quo and influencing factors of follow-up service for postoperative patients with cervical spondylosis_West China Medical Journal

Authors：

DUAN Dan ^1,2 ,  NING Ning ² , CHEN Jiali ² , LI Peifang ² , XIE Jingying ^1,2

1. West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Cervical spondylosis; Postoperative; Follow-up; Demand; Influencing factors

DOI：

10.7507/1002-0179.201907174

Video：

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Objectives To investigate the status quo of follow-up services for patients with cervical spondylosis, to explore its influencing factors, and to provide reference for the follow-up management model after postoperative discharge of patients with cervical spondylosis.Methods A total of 220 patients with cervical spondylosis were selected by using convenient sampling from October 2018 to May 2019, and the general information questionnaire and the follow-up service needs questionnaire were used for the investigation.Results The score of follow-up service content requirement for patients with cervical spondylosis was 54.87±7.56, and the rehabilitation training instruction was the highest. Multiple linear regression analysis showed that the follow-up service content score was influenced by education level [non-standardized partial regression coefficient (b)=3.186, 95% confidence interval (CI) (2.490, 3.882), P<0.001], length of hospital stay [b=5.140, 95%CI (3.914, 6.365), P<0.001], Neck Disability Index [b=1.326, 95%CI (0.189, 2.463), P=0.022], and age [≥75 years as the reference, 45-59 years: b=3.766, 95%CI (0.671, 6.860), P=0.017; 60-74 years: b=4.081, 95%CI(0.849, 7.314), P=0.014]. The method of obtaining follow-up services was mainly based on outpatient follow-up (85.5%), telephone follow-up (50.5%), and established a follow-up service center (40.5%) for discharged patients. The executives were multidisciplinary teams (60.5%) and hospital-community integration teams (48.2%). There were 19.1% of discharged patients who were willing to pay for relevant follow-up services.Conclusions Patients with postoperative cervical spondylosis have strong demand for post-discharge follow-up services, which are affected by many factors. Medical staff should pay attention to this and develop a personalized follow-up service plan according to patient characteristics to meet different discharged patients and improve the quality of medical services.

Citation： DUAN Dan, NING Ning, CHEN Jiali, LI Peifang, XIE Jingying. Investigation on the status quo and influencing factors of follow-up service for postoperative patients with cervical spondylosis. West China Medical Journal, 2019, 34(9): 1010-1016. doi: 10.7507/1002-0179.201907174 Copy

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2. 孙孟尧. 人工关节置换病历登记及随访系统的建立. 长春: 吉林大学, 2013.
3. Taha H, Nyström L, Al-Qutob R, et al. Home visits to improve breast health knowledge and screening practices in a less privileged area in Jordan. BMC Public Health, 2014, 14: 428.
4. Dickinson R, Hall S, Sinclair JE, et al. Using technology to deliver cancer follow-up: a systematic review. BMC Cancer, 2014, 14: 311.
5. Lv Y, Tian W, Chen D, et al. The prevalence and associated factors of symptomatic cervical spondylosis in Chinese adults: a community-based cross-sectional study. BMC Musculoskelet Disord, 2018, 19(1): 325.
6. 姜丽, 孙健, 谷虹. 颈椎后路减压椎板成形术患者早期康复护理依从性影响因素及护理对策. 实用临床医药杂志, 2017, 21(14): 88-90, 100.
7. Simpson AH, Hamilton DF, Beard DJ, et al. Targeted rehabilitation to improve outcome after total knee replacement (TRIO): study protocol for a randomised controlled trial. Trials, 2014, 15: 44.
8. 中华外科杂志编辑部. 颈椎病的分型、诊断及非手术治疗专家共识(2018). 中华外科杂志, 2018, 56(6): 401-402.
9. 杨纯子. 出院病人延伸护理服务开展现况及病人需求的调查研究. 武汉: 华中科技大学, 2016.
10. 童飞. 胸腰椎骨折患者保守治疗居家康复健康需求的调查研究. 苏州: 苏州大学, 2016.
11. 刘永兵, 窦新芝, 王淑霞, 等. 养老机构老年人健康素养与自我护理能力的典型相关分析. 中国老年学杂志, 2013, 34(5): 1349-1352.
12. Guzman JZ, Feldman ZM, Mcanany S, et al. Osteoporosis in cervical spine surgery. Spine, 2016, 41(8): 662-668.
13. 王新伟, 袁文, 吴晓东. 颈椎手术并发症现状与新动向. 中国脊柱脊髓杂志, 2018, 28(2): 97-99.
14. 刘锐. 早期康复联合颈椎管减压术治疗创伤性颈中央脊髓损伤综合征. 实用骨科杂志, 2018, 24(7): 625-628.
15. 徐勤勤, 单伟颖, 王颖, 等. 心肌梗死患者延续性护理知识需求及影响因素分析. 广东医学, 2016, 37(13): 1999-2002.
16. 祝玲. 按摩式中药奄包法在颈型颈椎病中的应用研究. 遵义: 遵义医学院, 2017.
17. 李丹凤, 邓烈夏, 陈筱玲. 腰椎间盘突出症患者延续性护理需求调查与对策. 齐鲁护理杂志, 2016, 22(4): 57-58.
18. 尚少梅. 国外延续护理的发展及启示. 中华现代护理杂志, 2014, 20(1): 1-3.

West China Medical Journal

Investigation on the status quo and influencing factors of follow-up service for postoperative patients with cervical spondylosis

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