延续护理干预对腰椎结核术后患者负性情绪及生活质量的影响

Effect of continued nursing intervention on the negative emotion and quality of life in postoperative patients with lumbar spinal tuberculosis

目的 探讨延续护理对腰椎结核患者术后焦虑等负性情绪和生活质量的影响.方法 选取腰椎结核患者187例,随机分为实验组94例和对照组93例.对照组按照常规标准护理流程进行护理,实验组给予延续性护理干预.采用自制量表对患者的焦虑状态进行统计；于术后3个月对全部患者发放调查问卷,对患者的生活质量进行比较.结果 实验组患者无焦虑26例,占27.66％；轻度焦虑43例,占45.74％；中度焦虑18例,占19.15％；重度焦虑7例,占7.45％；对照组无焦虑18例,占19.35％；轻度焦虑25例,占26.88％；中度焦虑39例,占41.94％；重度焦虑11例,占11.83％；两组焦虑程度比较差异有统计学意义（Z=-2.948,P＜0.05）.实验组和对照组患者的生活质量总分分别为（67.52±18.61）,（43.68±12.46）分,实验组在身体、心理、社交各个方面得分均高于对照组,差异有统计学意义（P＜0.05）.实验组患者满意度为86.17％,对照组仅69.89％,差异有统计学意义（x2=7.227,P＜0.05）.结论 腰椎结核患者采用延续护理干预能够改善患者术后的焦虑情绪,提高患者生活质量.

Objective To investigate and evaluate the effect of continued nursing intervention on anxiety and other negative emotions and quality of life in postoperative patients with lumbar spinal tuberculosis.Methods A total of 187 postoperative patients with lumbar spinal tuberculosis were selected and randomly divided into two groups：94 patients in the experimental group with continued nursing intervention and 93 patients in the control group with conventional standard nursing.After the treatment,all of patients received the anxiety level test by using the Self-Rating Anxiety Scale,and three months after operation,all of patients were investigated with questionnaire to compare their quality of life.Results The results showed that,there were 26 （27.66％） patients without anxiety,43 （45.74％） patients with mild anxiety,18 （19.15％） patients with moderate anxiety,7 （7.45％） patients with severe anxiety in the experimental group,and there were 18 （19.35％）,25 （26.88％）,39 （41.94％）,11 （11.83 ％） in the control group,respectively.The degree of anxiety was statistically significant difference between the two groups （Z =-2.948,P ＜ 0.05）.The total scores of life quality of patients in the experimental group and in the control group were （67.52 ± 18.61） and （43.68 ± 12.46）,respectively.There were higher scores of physical,psychological,social in the experimental group than in the control group,and the difference was statistically significant （P ＜ 0.05）.The patient satisfaction rate in the experimental group was 86.17％ （81/94）,only 69.89％ （65/93） in the control group,and the difference was statistically significant （x2 =7.227,P ＜ 0.05）.Conclusions Continued nursing can help to improve the anxiety emotion and quality of life in postoperative patients with lumbar spinal tuberculosis.