系统护理干预对转移性脊柱肿瘤患者手术切除治疗后的影响

Impact of systemic nursing on patients undergoing surgery for metastatic spinal tumors

目的探讨系统护理干预对转移性脊柱肿瘤患者手术切除治疗后压疮和焦虑抑郁情绪的影响。方法选取2014年1月至2016年4月间西南医科大学附属医院收治行手术切除治疗的120例转移性脊柱肿瘤患者,采用随机数表法分为观察组与对照组,每组60例。观察组患者在压疮常规护理的基础上予以系统干预护理,对照组患者予以压疮常规护理。比较两组患者护理干预前后焦虑与抑郁改善情况及压疮发生情况。结果干预前,两组患者焦虑和抑郁评分比较,差异均无统计学意义(均P>0.05)。干预后,两组患者焦虑和抑郁情况均有好转,且观察组患者好转情况明显优于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组患者压疮发生率为3.3%,明显少于对照组的23.3%,差异有统计学意义(P<0.05)。结论系统护理干预能改善转移性脊柱肿瘤患者手术切除后的抑郁和焦虑情况,降低压疮发生率,提高生活质量。

Objective To investigate the effect of systematic nursing on pressure sores,anxiety and depression in patients with metastatic spinal tumors after surgical resection. Methods Select 120 patients undergoing surgical treatment for metastatic spinal tumors who admitted to Affiliated Hospital of Southwest Medical University from January 2014 to April 2016. Using a random number table,patients were divided into an observation group and a control group with 60 patients in each group. Patients the observation group received systematic intervention nursing based on normal nursing and patients in the control group were given conventional nursing care. Anxiety and depression were evaluated and compared between the two groups and the incidence of pressure sores evaluated. Results Before the intervention,no difference in anxiety and depression score was noted between the two groups（all P〈0. 05）. After the intervention,anxiety and depression improved in both groups and with the observation group better than the control group（all P〈0. 05）. The rate of pressure sore was significantly lower in the observation group（3. 3%） than that in the control group（23. 3%）（P〈0. 05）. Conclusion Systematic nursing can relieve depression and anxiety,reduce the rate of pressure sores and improve quality of life in patients undergoing surgery for metastatic spinal tumors.