胸腰椎骨折后路钉棒系统内固定术32例整体护理干预效果分析

Analysis of the effect of holistic nursing intervention in the treatment of 32 patients with thoracolumbar fractures by applying posterior pedicle screw system

目的:探讨整体护理干预在胸腰椎骨折患者行后路钉棒系统内固定术中的应用效果。方法:将64例因胸腰椎骨折接受后路钉棒系统内固定术患者随机分成观察组和对照组各32例。观察组采取整体护理干预,对照组采取常规护理干预,观察两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、日常生活活动能力(ADL)评分以及术后并发症发生率、患者满意度。结果:观察组SAS、SDS评分明显低于对照组(P<0.01),术后并发症发生率低于对照组(P<0.05),ADL评分及患者满意度明显高于对照组(P<0.05)。结论:整体护理干预不仅可改善胸腰椎骨折后路钉棒系统内固定患者的心理健康状况,也可促进其日常生活自理能力的恢复,提高患者生活质量。

Objective ：To analyze the effect of holistic nursing intervention in the treatment of thoracolumbar fractures by applying posterior pediele screw system. Methods ：64 patients with thoracolumbar fractures were randomly divided into the observation group and the control group （32 cases in each group）. The holistie nursing intervention was adopted in the observation group and the routine nursing intervention was conducted in the control group , the scores of SAS, SDS and ADL, the incidence of postoperative complications and patient satisfaction were observed in the two groups. Results ：The SAS and SDS scores in the observation group were significantly lower than those in the control group（P 〈 0.01 ） ;the incidence of postoperative complications was lower in the observation group than the control group（P 〈 0. 05 ） ; the ADL score and the patient satisfaction were significantly higher in the observation group than the control group （ P 〈 0.05 ）. Conclusion ： The holistic nursing intervention can not only improve the mental health status of the patients, but also promote the restoration of ADL and improve the quality of life of the patients treated with posterior pedicle screw system for thoracolumbar fractures.