基于护理程序的整体护理干预对胸腰段脊柱骨折患者内固定术后的干预效果
|
摘要
目的观察对胸腰段脊柱骨折患者内固定术后基于护理程序施行整体护理的护理效果。方法纳入2015年1月—2017年12月杭州市中医院收治的106例外伤性胸腰段脊柱骨折患者作为观察对象。患者术后按照随机数字表法分别施行常规护理(对照组,53例)和基于护理程序施行整体护理(观察组,53例)。观察手术切口愈合情况、治疗优良率、引流情况(引流量和拔引流管时间)、术后并发症的发生率、术后的相关指标(平均住院时间,骨折完全愈合时间,肌力恢复时间)。结果 2组术后拔引流管时间比较差异有统计学意义(t=4.480,P<0.05)。术后2周,2组患者的手术切口均获得一期愈合。观察组手术后治疗优良率为94.34%(50/53),对照组为81.13%(43/53),2组差异有统计学意义(χ~2=4.140,P<0.05)。观察组平均住院时间为(15.35±2.28)d,明显少于对照组的(23.74±3.60)d(t=14.334,P<0.05)。观察组骨折完全愈合时间[(8.34±1.27)个月]、肌力恢复时间[(13.05±2.29)个月]均明显优于对照组[(5.12±0.16)个月、(3.75±0.43)个月],均P<0.05。观察组术后并发症发生率为1.89%(1/53),明显低于对照组的13.21%(7/53,χ~2=5.740,P=0.017)。结论对脊柱骨折患者内固定术后基于护理程序的整体护理干预可以有效保障手术效果,降低术后并发症发生率,缩短患者的住院时间,促进患者更快康复。
Objective To investigate the effect of holistic nursing on thoracolumbar spine fracture patients after internal fixation based on nursing procedure. Methods A total of 106 patients from January 2015 to December 2017 with traumatic thoracolumbar spine fractures were enrolled as observation objects. According to the random number table method, the patients were accepted with routine nursing(control group, 53 cases) or holistic nursing based on nursing procedure(observation group, 53 cases) after operation respectively. To investigate the healing of incision, the rate of excellent and good treatment, drainage(drainage volume and drainage time), the incidence of complications after operation, and the related indicators after operation(average hospitalization time, fracture healing time, muscle strength recovery time). Results There was significant difference in the time of drainage tube extraction between the two groups(t=4.480, P<0.05). Two weeks after operation, the incisions of both groups were healed. The excellent and good rate was 94.34%(50/53) in the observation group and 81.13%(43/53) in the control group. There was significant difference between the two groups(χ~2=4.140, P<0.05). The average hospital stay in the observation group(15.35±2.28 days) was significantly less than that in the control group(23.74±3.60)days,(t=14.334, P<0.05).The complete healing time(8.34 ±1.27)months and muscle strength recovery time(13.05±2.29)months in the observation group were significantly better than those in the control group [(5.12±0.16)months,(3.75±0.43)months], all P<0.05. The incidence of postoperative complications in the observation group was 1.89%(1/53), significantly lower than that in the control group(13.21%, 7/53, χ~2= 5.740, P=0.017). Conclusion The holistic nursing intervention based on nursing procedure can effectively guarantee the effect of operation, reduce the incidence of postoperative complications, shorten the hospitalization time of patients with spinal fracture after internal fixation, and promote faster recovery of patients.
Objective To investigate the effect of holistic nursing on thoracolumbar spine fracture patients after internal fixation based on nursing procedure. Methods A total of 106 patients from January 2015 to December 2017 with traumatic thoracolumbar spine fractures were enrolled as observation objects. According to the random number table method, the patients were accepted with routine nursing(control group, 53 cases) or holistic nursing based on nursing procedure(observation group, 53 cases) after operation respectively. To investigate the healing of incision, the rate of excellent and good treatment, drainage(drainage volume and drainage time), the incidence of complications after operation, and the related indicators after operation(average hospitalization time, fracture healing time, muscle strength recovery time). Results There was significant difference in the time of drainage tube extraction between the two groups(t=4.480, P<0.05). Two weeks after operation, the incisions of both groups were healed. The excellent and good rate was 94.34%(50/53) in the observation group and 81.13%(43/53) in the control group. There was significant difference between the two groups(χ~2=4.140, P<0.05). The average hospital stay in the observation group(15.35±2.28 days) was significantly less than that in the control group(23.74±3.60)days,(t=14.334, P<0.05).The complete healing time(8.34 ±1.27)months and muscle strength recovery time(13.05±2.29)months in the observation group were significantly better than those in the control group [(5.12±0.16)months,(3.75±0.43)months], all P<0.05. The incidence of postoperative complications in the observation group was 1.89%(1/53), significantly lower than that in the control group(13.21%, 7/53, χ~2= 5.740, P=0.017). Conclusion The holistic nursing intervention based on nursing procedure can effectively guarantee the effect of operation, reduce the incidence of postoperative complications, shorten the hospitalization time of patients with spinal fracture after internal fixation, and promote faster recovery of patients.
引文
[1] 相燕.护理程序对股骨颈骨折患者髋关节功能恢复的影响[J].实用临床医药杂志,2014,18(8):48-51.
[2] SHEA L,FRISC N C.Application of integral theory in holistic nursing practice[J].Holist Nurs Pract,2014,28(6):344-352.
[3] 刘梅讯,李德梅.整体护理在产后大出血子宫动脉栓塞术患者中的临床应用效果[J].中国介入影像与治疗学,2016,13(6):338-341.
[4] 张文亮.基于护理程序的整体护理对急性心肌梗死患者行PCI术后生活质量的影响[J].内蒙古医学杂志,2017,49(9):1149-1151.
[5] 李宏煜.护理程序在高龄骨质疏松压缩性骨折经皮椎体成形治疗患者中的应用[J].中国医药指南,2016,14(3):228-229.
[6] ERIKSSON I,LINDBLAD M,M?LLER U,et al.Holistic health care:Patients’ experiences of health care provided by an Advanced Practice Nurse[J].Int J Nurs Pract,2018,24(1):e12603.
[7] 刘琳.30例脊柱骨折患者术后并发症的护理分析[J].国际护理学杂志,2014,33(1):1568-1570.
[8] 吕美丽.围术期程序护理在老年骨质疏松性椎体压缩骨折患者微创手术治疗中的应用[J].浙江医学,2018,40(7):770-771,775.
[9] 雷伟洁.护理程序的整体护理干预对多发骨关节损伤合并骨盆骨折患者的影响效果体会[J].实用临床护理学电子杂志,2018,3(29):78,80.
[10] 张平,章耀华,闫丽欣,等.Ilizarov技术治疗创伤后胫骨感染性骨缺损的整体护理干预[J].中国矫形外科杂志,2017,25(16):1530-1533.
[11] 董琼.基于护理程序的整体护理干预对多发骨关节损伤合并骨盆骨折患者的影响[J].河南医学研究,2017,26(22):4215-4216.
[12] 牛婷婷.基于护理程序的整体护理对胸腰段脊柱骨折患者内固定术后康复及护理满意度的影响[J].社区医学杂志,2018,16(4):73-74.
[13] 王双霞.基于护理程序的整体护理干预对术后胫骨平台骨折患者VAS评分及护理满意度的影响[J].河南医学研究,2017,26(23):4371-4372.
[14] 周雪松,陈松,张丽伟,等.护理程序在脑肿瘤手术患者术后护理中的应用[J].实用临床医药杂志,2016,20(8):158-160.
[15] 李慧贤.整体护理程序在小儿腹泻护理中的应用[J].中国医疗设备,2016,31(S1):125-126.
[2] SHEA L,FRISC N C.Application of integral theory in holistic nursing practice[J].Holist Nurs Pract,2014,28(6):344-352.
[3] 刘梅讯,李德梅.整体护理在产后大出血子宫动脉栓塞术患者中的临床应用效果[J].中国介入影像与治疗学,2016,13(6):338-341.
[4] 张文亮.基于护理程序的整体护理对急性心肌梗死患者行PCI术后生活质量的影响[J].内蒙古医学杂志,2017,49(9):1149-1151.
[5] 李宏煜.护理程序在高龄骨质疏松压缩性骨折经皮椎体成形治疗患者中的应用[J].中国医药指南,2016,14(3):228-229.
[6] ERIKSSON I,LINDBLAD M,M?LLER U,et al.Holistic health care:Patients’ experiences of health care provided by an Advanced Practice Nurse[J].Int J Nurs Pract,2018,24(1):e12603.
[7] 刘琳.30例脊柱骨折患者术后并发症的护理分析[J].国际护理学杂志,2014,33(1):1568-1570.
[8] 吕美丽.围术期程序护理在老年骨质疏松性椎体压缩骨折患者微创手术治疗中的应用[J].浙江医学,2018,40(7):770-771,775.
[9] 雷伟洁.护理程序的整体护理干预对多发骨关节损伤合并骨盆骨折患者的影响效果体会[J].实用临床护理学电子杂志,2018,3(29):78,80.
[10] 张平,章耀华,闫丽欣,等.Ilizarov技术治疗创伤后胫骨感染性骨缺损的整体护理干预[J].中国矫形外科杂志,2017,25(16):1530-1533.
[11] 董琼.基于护理程序的整体护理干预对多发骨关节损伤合并骨盆骨折患者的影响[J].河南医学研究,2017,26(22):4215-4216.
[12] 牛婷婷.基于护理程序的整体护理对胸腰段脊柱骨折患者内固定术后康复及护理满意度的影响[J].社区医学杂志,2018,16(4):73-74.
[13] 王双霞.基于护理程序的整体护理干预对术后胫骨平台骨折患者VAS评分及护理满意度的影响[J].河南医学研究,2017,26(23):4371-4372.
[14] 周雪松,陈松,张丽伟,等.护理程序在脑肿瘤手术患者术后护理中的应用[J].实用临床医药杂志,2016,20(8):158-160.
[15] 李慧贤.整体护理程序在小儿腹泻护理中的应用[J].中国医疗设备,2016,31(S1):125-126.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |