经皮椎体成形术治疗骨质疏松性脊椎压缩性骨折28例综合护理干预

Comprehensive nursing intervention in the treatment of 28 patients with osteoporotic vertebral compression fractures by applying percutaneous vertebroplasty

目的:探讨经皮椎体成形术治疗骨质疏松性脊椎压缩性骨折患者的综合护理干预方法及效果。方法:将行经皮椎体成形术治疗的56例骨质疏松性脊椎压缩性骨折患者随机分为观察组和对照组各28例,对照组采用常规护理措施,观察组在对照组基础上实施综合护理干预措施,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较两组患者的焦虑、抑郁情况,并对两组患者的疼痛程度进行评定。结果:观察组护理后焦虑3例,明显少于护理前28例和对照组护理后26例,差异均有统计学意义(P<0.05);观察组护理后SAS评分(21.52±1.81)分,明显低于护理前(46.98±2.31)分和对照组护理后(46.61±2.17)分,差异均有统计学意义(P<0.05)。观察组护理后抑郁3例,明显少于护理前28例和对照组护理25例,差异有统计学意义(P<0.05);观察组SDS评分(44.52±1.81)分,低于护理前(51.77±2.48)分和对照组护理后(49.56±2.08)分,差异均有统计学意义(P<0.05)。观察组护理后疼痛率17.9%,较对照组35.7%明显降低(P<0.05)。结论:综合护理干预措施可明显缓解患者的焦虑、抑郁心理,减轻围术期疼痛,有利于促进患者早日康复。

Objective ： To explore -and investigate the comprehensive nursing intervention method and effect of applying percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures. Methods：56 patients undergoing percutaneous vertebroplasty were randomly divided into the observation group and the control group （28 cases in each group ）. The routine nursing measures were taken in the control group and the comprehensive nursing intervention measures were implemented in the observation group, the anxiety and depression of the patients was compared by using SAS and SDS scale between the two groups and the severity of pain of the patients was assessed in the two groups. Resuhs ： The anxiety occurred in 3 cases in the observation group after nursing care and significantly fewer than 28 cases before nursing care and also fewer than 26 cases in the control group after nursing care （ P 〈 0.05 ） ; the SAS scores were 21.52 ± 1.81 points after nursing care and significantly lower than 46.98 ± 2.31 points before nursing care in the observation group and lower than 46.61 ±2.17 points in the control group after nursing care （P 〈0.05） ;the depression happened in 3 cases in the observation group after nursing care and significantly fewer than 28 cases before nursing care and lower than 25 cases in the control group （ P 〈 0.05 ） ; the SDS scores were 44.52±1.81 points after nursing care and lower than 51.77 ±2.48 points before nursing care in the observation group and lower than 49.56 ± 2.08 points in the control group after nursing care （ P 〈 0.05 ）;the incidence of pain of the patients was 17.9% in observation group after nursing care and significantly decreased compared with 35.7% in the control group （ P 〈 0.05 ）. Conclusion： The comprehensive nursing intervention can significantly alleviate the anxiety and depression and reduce the perioperative pain of the patients.