Application of Out-of-Hospital Extended Nursing in Brace Treatment of Patients with Idiopathic Scoliosis

Abstract

Objective: To investigate the effect of out-of-hospital extended nursing on the compliance behaviors and therapeutic effect of brace treatment of patients with idiopathic scoliosis. Methods: 54 patients with idiopathic scoliosis between February 2015 and December 2017 were randomly divided into control group and observation group. Patients in the control group received pelvic suspension traction, gymnastic exercises, and brace wear at discharge, on the basis of which patients in the observation group were added with extended care outside the hospital. The compliance behaviors and the changes of scoliosis angle (Cobb angle) of patients in the 2 groups were evaluated. Results: Compared with the control group, patients in the observation group had better compliance behaviors in completion status of functional exercise (χ 2 =5.594, P=0.018), brace wear (χ 2 =6.171, P=0.013), subsequent visit on time (χ 2 =9.247, P=0.002). Cobb angle was improved significantly in both groups at the last follow-up comparedwith that on admission, and the improvement was more significantly in the observation group (P<0.001). Conclusion:Through the implementation of out-of-hospital extended nursing, the compliance behaviors and clinical effect of brace treatment for idiopathic scoliosis patients are obviously improved, and this active nursing model is worth popularizing in clinic. and the clinical effect was satisfactory, which was reported below.