【摘要】：目的：对层级护理干预对腰痛患者症状以及心理状态的影响进行对比分析。方法：2013年3月至2014年1月期间我院对腰痛患者实施集体护理干预，回顾性分析其中54例患者的临床资料作为对照组，2014年3月至2015年3月我院开始实施层级护理,亦回顾性分析其中54例患者临床资料作为实验组。两组患者均接受艾条灸，穴位选取大肠俞和双肾俞，同时辅以腰背肌的功能性锻炼，对两组患者护理干预之前后的临床疗效、Oswestry慢性腰痛评分、相关知识的掌握程度及SDS评分情况进行记录和分析比较。结果：实验组的总有效率为98.15%，对照组的总有效率为83.33%，两组之间比较，差异有统计学意义（P＜0.01）；干预前两组患者的Oswestry评分比较，差异无统计学意义（P＞0.05），干预后2周及3个月，实验组Oswestry评分均优于对照组，差异有统计学意义（P＜0.05）。实验组干预后的答题及格率为92.59%，对照组及格率为50.0%，两组差异有统计学意义（P<0.05）。干预前两组患者的SDS评分比较，差异无统计学意义（P＞0.05），干预后2周及3个月，实验组SDS评分均优于对照组，差异有统计学意义（P＜0.05）。结论：相较于集体护理，层级护理可以显著提高慢性腰痛患者的症状和心理状态，有一定的临床推广价值。
关键词：慢性下腰痛；分组护理；艾灸
Abstract: Objective: to study the symptoms and psychological states’ influence of grading nursing in the patients with chronic low back pain. Methods: Patients with chronic low back pain were treated with collective care during 2013.3 to 2014.3, and 54 cases were selected as control group, and patients with chronic low back pain were treated with grading nursing during 2014.3 to 2015.3, also 54 cases were selected as experimental group . All the patients were given double-Shenshu Dachangshu Moxibustion and back muscle exercises. Theclinical efficacy, Oswestry scores, mastery of knowledge and SDS scores before and after intervention were recorded and compared between two groups. Results: The total efficiency of experimental group was 98.15%, and control group was 83.33%, there was significant difference between these two groups（P＜0.01＝；The difference of Oswestry scores between two groups before intervention was not statistically significant（P＞0.05）,2 weeks and3 months after intervention, the experimental group had a better Oswestry scores than the control group, the difference was statistically significant（P＜0.05＝；The answer passing rate of experimental group was 92.59% after intervention, and 50.5% in control group, there was significant difference between these two groups（P＜0.05＝；The difference of SDS scores between two groups before intervention was not statistically significant（P＞0.05）,2 weeks and 3 months after intervention, the experimental group had a better SDS score than the control group, and there was significant difference between these two groups（P＜0.05）. Conclusion: Compared to collective care, grading nursing can significantly improve the symptoms and mental status of patients withchronic low back pain, which is worth in clinical expansion.
[Key words]: Chronic low back pain; grading nursing ; moxibustion
目录：
1 资料和方法
2 结果
3 讨论
