脊柱骨折术后下肢深静脉血栓形成的预防与护理

Prevention and Nursing of Lower Extremity Deep Venous Thrombosis After Spinal Fractures Surgery

目的探讨对脊柱骨折术后患者实施护理干预的临床效果。方法临床纳入2013年7月至2015年7月间在我院进行脊柱骨折术的患者180例,随机分为两组各90例。对照组行一般护理,研究组在一般护理基础上给予综合护理干预。比较两组的并发症发生率、焦虑和抑郁程度、护理质量评分。结果护理后研究组深静脉血栓、肺栓塞、感染、残疾等并发症发生率显著低于对照组(P<0.05)。护理后两组SDS、SAS评分均显著降低,但研究组改善程度优于对照组(P<0.05)。研究组护理服务态度、护患沟通交流、操作执行能力、健康宣教等评分均显著高于对照组(P<0.05)。结论对脊柱骨折术后患者在一般护理措施上实施护理干预,能够降低患者的并发症发生率,改善患者焦虑抑郁情绪,提高护理质量。

Objective To investigate the clinical effect of nursing intervention on patients after spinal fractures surgery. Methods 180 patients with spinal fractures surgery in our hospital from July 2013 to July 2015 were randomly divided into two groups, with 90 cases in each group. The control group was given general nursing, the study group was given comprehensive nursing intervention on this basis. The incidence of complications, degree of anxiety and depression, score of nursing quality were compared. Results After nursing, the incidence of deep venous thrombosis, pulmonary embolism, infection, disability in study group were lower than those in control group （P 〈0,05）; the scores of SDS and SAS in two groups decreased significantly, and the improvement degree of study group was better than that of control group （P 〈0.05）; the scores of nursing service attitude, communication of nurses and patients, operation ability, health education in study group were higher than those in control group （P〈0.05）. Conclusions Nursing intervention combined with general nursing for patients after spinal fractures surgery can reduce the incidence of complications, improve patients＇ anxiety and depression and nursing quality.