整体化护理干预对胸腰椎骨折术后患者的应用效果
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摘要
目的探讨整体化护理干预对胸腰椎骨折术后患者的应用效果。方法选取2017年5月—2018年10月台州市中西医结合医院进行椎弓根棒内固定术治疗的胸腰椎骨折患者110例作为研究对象,根据随机数字表法分为观察组和对照组各55例。对照组应用常规护理方法,观察组在对照组的基础上进行整体化护理干预。对比2组患者功能恢复效果(腰背肌功能恢复优良率)、护理干预前后疼痛程度评分(VAS评分)、心理状态评分(SAS、SDS评分)及住院期间并发症发生情况。结果观察组患者腰背肌功能恢复优良率为92.7%(51/55),明显高于对照组的78.2%(43/55),P<0.05;护理干预前,2组患者疼痛程度评分及心理状态评分比较差异无统计学意义(均P>0.05);护理干预后,观察组患者VAS评分明显低于对照组患者(P<0.05);护理干预后观察组患者SAS评分及SDS评分均低于对照组(均P<0.05);患者住院期间观察组患者并发症总发生率为25.5%(14/55),低于对照组的45.5%(25/55),差异有统计学意义(P<0.05)。结论整体化护理干预能明显改善胸腰椎骨折患者术后功能恢复情况,减轻患者疼痛,缓解患者不良情绪,减少并发症的发生率。
Objective To investigate the effect of integrated nursing intervention on postoperative patients with thoracolumbar fractures. Methods A total of 110 patients with thoracolumbar fractures treated with pedicle screw internal fixation from May 2017 to October 2018 were selected as the study subjects. According to the random number table method, they were divided into observation group and control group, with 55 cases in each group. The control group was treated with conventional nursing method, and the observation group was treated with integrated nursing intervention on the basis of the control group. The effect of functional recovery(excellent rate of lumbar and dorsal muscle function recovery), pain degree score(VAS score), mental state score(SAS, SDS score) before and after nursing intervention, and complications during hospitalization were compared between the two groups. Results The excellent and good recovery rate of lumbar muscle function in the observation group was 92.7%(51/55), which was significantly higher than that in the control group(78.2%,43/55), P<0.05. Before nursing intervention, there was no significant difference in pain score and mental state score between the two groups(P>0.05); after nursing intervention, the VAS score of the observation group was significantly lower than that of the control group(P<0.05); after nursing intervention, the SAS score and SDS score of the observation group were lower than those of the control group(P<0.05); during the nursing intervention, the observation group was concurrent. The total incidence was 25.5%(14/55), which was lower than 45.5%(25/55) of the control group(P<0.05). Conclusion Holistic nursing intervention can significantly improve the postoperative functional recovery of patients with thoracolumbar fractures, reduce the pain of patients, alleviate the bad mood of patients and reduce the incidence of complications, which is worthy of clinical application.
Objective To investigate the effect of integrated nursing intervention on postoperative patients with thoracolumbar fractures. Methods A total of 110 patients with thoracolumbar fractures treated with pedicle screw internal fixation from May 2017 to October 2018 were selected as the study subjects. According to the random number table method, they were divided into observation group and control group, with 55 cases in each group. The control group was treated with conventional nursing method, and the observation group was treated with integrated nursing intervention on the basis of the control group. The effect of functional recovery(excellent rate of lumbar and dorsal muscle function recovery), pain degree score(VAS score), mental state score(SAS, SDS score) before and after nursing intervention, and complications during hospitalization were compared between the two groups. Results The excellent and good recovery rate of lumbar muscle function in the observation group was 92.7%(51/55), which was significantly higher than that in the control group(78.2%,43/55), P<0.05. Before nursing intervention, there was no significant difference in pain score and mental state score between the two groups(P>0.05); after nursing intervention, the VAS score of the observation group was significantly lower than that of the control group(P<0.05); after nursing intervention, the SAS score and SDS score of the observation group were lower than those of the control group(P<0.05); during the nursing intervention, the observation group was concurrent. The total incidence was 25.5%(14/55), which was lower than 45.5%(25/55) of the control group(P<0.05). Conclusion Holistic nursing intervention can significantly improve the postoperative functional recovery of patients with thoracolumbar fractures, reduce the pain of patients, alleviate the bad mood of patients and reduce the incidence of complications, which is worthy of clinical application.
引文
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[11] 刘喜,曹云云.循证护理干预对降低胸腰椎骨折患者术后压疮与尿路感染的探讨[J].航空航天医学杂志,2017,28(4):505-506.
[12] 吴小兰.手术室整体护理应用于骨折患者手术治疗中的有效性分析[J].实用临床护理学电子杂志,2017,2(42):89.
[13] 朱晓宏.整体护理新模式对老年腰椎压缩骨折手术患者负性情绪的影响[J].当代护士,2018,25(9):66-68.
[14] 姚艳卿.对接受切开复位内固定术的胸腰椎骨折患者进行整体护理的效果评价[J].当代医药论丛,2018,16(15):225-226.
[15] 万博.一体化康复护理干预对老年胸腰椎压缩性骨折术后患者疼痛评分、功能恢复和静脉血栓形成率的影响[J].中国农村卫生,2018,9(17):77-78.
[2] 张迎春.快速康复外科理念在经皮椎体成形术围手术期的应用[J].中国继续医学教育,2015,7(29):253-255.
[3] 苏静.快速康复外科联合预见性护理对老年股骨粗隆间骨折患者术后康复的影响[J].中西医结合护理,2016,2(9):8-10.
[4] 黄湘斌.经皮针刀松解联合医用臭氧注射治疗腰椎间盘突出症的临床研究[J].内蒙古中医药,2017,36(9):90-91.
[5] 安黎云,汤菲,王缚鲲.心理应激与免疫功能关系的研究现状[J].医学综述,2015,21(3):414-416.
[6] 高凤云.综合护理干预在椎弓根钉棒内固定术治疗胸腰椎骨折中的应用[J].承德医学院学报,2018,35(4):320-322.
[7] SCHOLZ M,KANDZIORA F,TSCHAUDER T,et al.Prospective randomized controlled comparison of posterior vs.posterior-anterior stabilization of thoracolumbar incomplete cranial burst fractures in neurological intact patients:the RASPUTHINE pilot study[J].Eur Spine J,2018,27 (12):3016-3024.
[8] LI C Y,CHANG C L,TAI T W,et al.Incidence and risk factors for hip fracture in elderly patients undergoing lumbar spine surgery:a nationwide database study with 11-year follow-up[J].Osteoporos Int,2018,29(12):2717-2723.
[9] PHUAN-UDOM R,LEKTRAKUL N,KATCHAMART W,et al.The association between 10-year fracture risk by FRAX and osteoporotic fractures with disease activity in patients with rheumatoid arthritis[J].Clin Rheumatol,2018,37(10):2603-2610.
[10] 王咏梅.集束化护理对胸腰椎骨折术后腹胀便秘患者的影响[J].国际护理学杂志,2017,36(17):2350-2353.
[11] 刘喜,曹云云.循证护理干预对降低胸腰椎骨折患者术后压疮与尿路感染的探讨[J].航空航天医学杂志,2017,28(4):505-506.
[12] 吴小兰.手术室整体护理应用于骨折患者手术治疗中的有效性分析[J].实用临床护理学电子杂志,2017,2(42):89.
[13] 朱晓宏.整体护理新模式对老年腰椎压缩骨折手术患者负性情绪的影响[J].当代护士,2018,25(9):66-68.
[14] 姚艳卿.对接受切开复位内固定术的胸腰椎骨折患者进行整体护理的效果评价[J].当代医药论丛,2018,16(15):225-226.
[15] 万博.一体化康复护理干预对老年胸腰椎压缩性骨折术后患者疼痛评分、功能恢复和静脉血栓形成率的影响[J].中国农村卫生,2018,9(17):77-78.