Practice And Research On The Management Mode Of Chinese And Western Medicine In Cervical Spondylosis

ObjectiveManagement model of this study is to adopt combine traditional Chinese and western medicine slow disease intervention in patients with cervical spondylosis self-management ability,through to the patient self-management ability index,the index of cervical dysfunction,satisfaction and evaluation of economic indicators,understand the effect of cervical spondylosis of slow disease management mode with traditional management,aims to improve the level of prevention and treatment of cervical spondylosis,popularize knowledge of cervical spondylosis combine traditional Chinese and western medicine slow disease management,improve the self management ability of patients with cervical spondylosis.MethodsThis study used simple random grouping method,in January 2016 to May 2016 in zhongshan hospital of orthopaedics clinics,or orthopedic wards in the hospital after the rehabilitation hospital discharge diagnosis of 150 cases of cervical spondylosis patients divided into two groups,control group 75 cases,observation group 75 cases.The patients in the control group received routine nursing care for the cervical spondylosis,including regular health education and regular revisits,and the patients in the observation group adopted the management mode of traditional Chinese and western medicine combined with slow disease on the basis of routine care.Before and after intervention using self management behavior scale,cervical dysfunction Index scale(Neck Disability Index NDI)to evaluate,satisfaction survey,contrast observed two groups of patients before and after intervention in patients with self management ability,cervical dysfunction Index,after the intervention of satisfaction,economic indic ators(hospitalization rates,the total cost of outpatient)evaluation,compared two groups of patients after the intervention of satisfaction and costs.Results1.A total of 150 patients with cervical spondylosis were included in this study,including 75 in the control group and 75 in the observation group.During the study period,5 cases were lost in the observation group,4 cases were lost in the control group,and all the patients fell off due to several revisits.The other patients were evaluated according to the requirements of the intervention procedures and indicators.In the end,141 patients were included in the study,including 70 in the observation group and 71 in the control group.2.The differences in age,sex,education degree,payment method and work intensity of the two groups of patients were not statistically significant(P>0.05),which was comparable.The comparison between the two groups of patients before intervention was not statistically significant(P> 0 0.05),and it was comparable.The clinical classification and TCM syndrome differentiation of two groups were not statistically significant(P>0 0.05).Patient self-management behavior,the comparison of two groups of patients to exercise,observation group of patients after intervention scores than the control group,the difference was statistically significant(P< 0.05),the observation group comparison before and after the intervention,the difference was statistically significant(P<0.05),the control group before and after the intervention,there was no statistically significant difference.Two groups of patients with the comparison of cognitive symptoms of management practice,observation group of patients after intervention scores than the control group increased significantly,the difference was statistically significant(P<0.05),the observation group comparison before and after the intervention,the difference was statistically significant(P <0.05),the control group before and after the intervention,the difference was statistically significant(P<0.05).Compared with the communication between two groups of patients and doctors,the scores of patients in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05),and the observation group was compared before and after the interventionThe differences were statistically significant(P<0.05),and the differences were not statistically significant before and after intervention.In the three months after intervention,the score of the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).On the satisfaction side,after the intervention,the satisfaction of patients in the observation group was significantly higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).In terms of hospitalization rate,the patients in the observation group were significantly less than the control group in the three months after intervention,and the difference between the two groups was not statistically significant,which may be related to the shorter observation time.In the aspect of safety evaluation,there was no adverse reaction that affected the recovery of the body during the intervention of the two groups.Conclusion1.The combination of western and western medicine in cervical spondylosis can improve the self-management ability of patients with cervical spondylosis.2.The combination of western and western medicine in cervical spondylosis can improve cervical vertebral dysfunction in patients with cervical spondylosis.3.The combination of western and western medicine in cervical spondylosis can improve the satisfaction of patients with cervical spondylosis.4.The combination of western and western medicine in cervical spondylosis can reduce the hospitalization rate of patients with cervical spondylosis.