骨质疏松腰背痛老年患者应用连续护理模式的干预效果的研究

Research on the continuous nursing interventions in elderly osteoporosis patients complicated with lumbago and backache

目的研究针对骨质疏松腰背痛患者采取连续护理模式的应用效果。方法选取本院于2016年4月~2017年4月期间本院康复科科收治的70例骨质疏松伴有腰背痛的老年患者,随机将其划分为常规组与连续组,各为35例,对常规组进行普通护理模式,对后组实施连续护理模式进行干预,观察其满意度及疼痛情况。结果常规组疼痛轻度、中度及重度分别为20%、48.57%、31.43%;连续组上述分别为51.43%、34.29%、14.29%。常规组轻度低于连续组,常规组中度及重度例数所占百分比高于连续组(P<0.05)。常规组机体舒适度、情感、认知及生活、社会关系等方面评分较低,后组较高(P<0.05)。常规组满意度为62.86%,明显低于连续组94.29%(P<0.05)。结论针对骨质疏松老年患者伴有程度较重的腰背疼痛情况,对其遵医嘱用药物治疗,平时生活中应注意合理饮食,对其进行肢体按摩,根据其疼痛情况做相应护理措施,患者满意度较高且其心理情绪状况较好,患者疼痛有所缓解。

Objective To study the application effect of continuous nursing interventions in elderly osteoporosis patients complicated with lumbago and backache. Methods 70 elderly osteoporosis patients complicated with lumbago and backache treated from April 2016 to April 2017 in our hospital were selected. They were randomly divided into conventional group and continuous group, 35 cases each group. Patients in conventional group were treated with the general nursing mode, and patients in continuous group were treated wiht the continuous nursing interventions. The patient＇s satisfaction and pain degree was observed. Results The mild, moderate and severe pain in the conventional group were 20%, 48.57% and 31.43%. The continuous group were 51.43%, 34.29%, and 14.29%. The conventional group was slightly lower than the continuous group, and the percentage of moderate and severe cases in the conventional group was higher than that in the continuous group, P 〈 0.05. The evaluation score of comfort, emotion, cognition, life and social relation for conventional group was lower than that of continuous group （P 〈 0.05）. The satisfaction of conventional group （62.86%） was lower than that of continuous group （94.29%） （P 〈 0.05）. Conclusion For elderly osteoporosis patients complicated with severe lumbago and backache, it is necessary to follow the doctor＇s advice, take the drug therapy, pay attention to reasonable diet, and massage the body. According to the pain condition, take the corresponding nursing interventions so as to improve the satisfaction, maintain their good emotion and relieve the pain.