术前健康教育干预对椎弓根内固定治疗胸腰椎骨折术后疼痛的影响

The affect on pain for patients with pedicle fixation in treatment of thoracolumbar fractures postoperative health dducation intervention

目的探讨术前健康教育干预对椎弓根内固定治疗胸腰椎骨折术后疼痛的影响。方法选择2013年1月～2014年1月我科行椎弓根内固定治疗的胸腰椎骨折患者76例，全部患者根据护理方法不同分为干预组和对照组各38例，两组患者均行椎弓根内固定。对照组实施常规术前准备及护理，干预组在上述干预措施的基础上实施系统、互动式的健康教育干预措施，观察比较两组术前及术后的SAS评分及VAS评分。结果干预组患者术前SAS评分比较差异不显著，术后干预组的SAS评分较术前明显降低，且干预组患者术后的SAS评分明显低于对照组（P〈0．05）。干预组患者术前VAS评分比较差异不显著，术后两组的VAS评分均较术前明显降低，且干预组患者术后的VAS评分显著低于对照组（P〈0．05）。结论在椎弓根内固定治疗胸腰椎骨折术前实施健康教育干预，可以缓解患者的焦虑、抑郁心理，减轻患者术后的疼痛。

Objective To investigate the affect on pain for patients with pedicle fixation in threatment thoracolumbar fractures postoperative health education intervention. Methods Selected 76 eases patients with pedicle fixation in treatment of thoracolumbar fractures from January 2013 to January 2014, all patients were randomly divided into intervention group and control group according to the different methods ,each of 38 cases ,two groups were given fixation of pedicle. The control group received routine preoperative preparation and care ,the intervention group on the basis of the above interventions took implementation of the system, interactive health education interventions, before and after surgery in SAS score and YAS score were observed. Results The SAS score of intervention group was significantly lower than the control group （P〈0.05）. Preoperative VAS scores in the intervention group and the control group,the difference was not significant,VAS score of intervention group was significantly lower than the control group （P〈0.05）. Conclusion Health education interventions before thoracolumbar fracture surgery with pedicle fixation can ease anxi- ety, depression psychology, alleviate the patient＇s pain.