老年骨质疏松性椎体压缩性骨折患者术后应用唑来膦酸的预见性护理

Predictive nursing of zoledronic acid in postoperative patients with Senile osteoporotic Vertebral compression fractures

目的探讨老年骨质疏松性椎体压缩性骨折术后使用唑来膦酸患者的预见性护理。方法对2014年8月~2015年12月172例符合条件的骨质疏松性椎体压缩性骨折术后采用静脉注射唑来膦酸治疗的患者为研究对象,利用随机数字表法进行分组,分别设为实验组和对照组,每组86例。对照组给予常规护理,实验组则实施预见性护理,比较两组患者的药物不良反应、再次用药依从性、护理满意度。结果实验组患者的药物不良反应明显低于对照组(P<0.05),再次用药依从性、护理满意度明显高于对照组(P<0.05)。结论实施预见性护理措施可减轻患者疼痛、减少药物不良反应,提高再次用药依从性和患者满意度,有效预防再骨折的发生。

obiective To investgate the prospective nursing care of patients with zoledronic acid after osteoporotic vertebral compressionfractures. Method A total of 172 eligible patients with osteoporotic vertebral compression fractures were treated with intravenous zoledronic acid from Aug 2014 to Dec 2015. The patients were divided into groups by random number table method. The experimental group and the control group,86 cases in each group,the Control group were given routine care,the experimental gronp in the implementation nf preditive care. Then compare the two groups of Patients with adverse drug reactions, medication compliance,care satisfaction. Results Adverse drug reactions in the experimental group were significantly lower than those in the control group,and compliance with medication and nursing satisfaction were signifificantly higher than those in the control group. Conclusion The implementation of preditive care ean reduce the pain and adverse drug reactions,improve complisance and satisfaction,and prevent the occurrence of fractures effective.