目的 探索以患者满意度为导向的优化护理措施对单边双通道内镜技术（unilateral biportal endoscopy，UBE）术后患者功能恢复的影响。方法 选取2021年1月至2023年6月苏州市某三级甲等医院行UBE的100例患者为研究对象，根据随机数字表法将患者分为试验组（n=50）和对照组（n=50）。对照组采取常规护理方案；试验组在常规护理的基础上实施基于患者满意度为导向的优化护理措施。比较两组患者满意度、疼痛、功能独立性及功能障碍情况。结果 试验组患者术后3个月的满意度评分高于对照组（均值差为11.44分，P＜0.05），疼痛得分低于对照组（中位数差为3分，P＜0.05），Oswestry功能障碍指数低于对照组（中位数差为5.5分，P＜0.05）。结论 以患者满意度为导向的优化护理措施，可显著提升UBE手术患者的满意度，减轻疼痛，加速其术后功能恢复。

Objective To explore the impact of patient satisfaction-oriented optimized nursing measures on functional recovery in patients after Unilateral Biportal Endoscopy(UBE) surgery.Methods 100 patients were selected from a tertiary A hospital in Suzhou between January 2021 and June 2023, and divided into an experimental group(n=50) and a control group(n=50) using a random number table method.The control group received routine nursing care.The experimental group received patient satisfaction-oriented optimized nursing measures in addition to routine care.Patient satisfaction,pain levels,functional independence,and functional disability were compared between the 2 groups.Results The experimental group showed significantly higher patient satisfaction scores at 3 months postoperatively than the control group(mean difference=11.44 points,P＜0.05),significantly lower pain scores(median difference=3 points,P＜0.05),and significantly lower Oswestry Disability Index scores(median difference=5.5 points,P＜0.05).Conclusions Optimized nursing measures with the patient satisfaction orientation can significantly enhance satisfaction,reduce pain,and accelerate postoperative functional recovery in patients undergoing UBE surgery.

R473

江苏省科学技术厅社会发展重点研发计划(BE2022737)