一级护理评估单在骨质疏松性椎体压缩性骨折术后患者中的应用

Clinical application of first class nursing evaluation list in patient with osteoporotic vertebral compression fractures after surgery

目的 探讨骨质疏松性椎体压缩性骨折术后应用一级护理评估单的效果.方法 采用方便取样法选取2014年2月—2016年2月入住解放军第309医院脊柱外科的100例骨质疏松性椎体压缩性骨折患者,2014年2月—2015年1月收治的50例患者为对照组,2015年2月—2016年2月收治的50例患者为观察组.对照组采用常规护理评估单检查督导术后护理措施的实施,观察组在此基础上采用骨质疏松性椎体压缩性骨折术后一级护理评估单检查督导术后护理措施的实施情况,比较两组患者术后日常生活能力、护理满意度及护理质量.结果 观察组患者术后1周Barthel指数评分为（84.39±12.75）分,对护理满意度中健康教育（4.31±0.65）分、服务态度（4.36±0.31）分、护理过程（4.38±0.33）分、护理效果（4.12±0.41）分,护理措施遗漏率为4%,护理质量合格率为98%;对照组患者术后1周Barthel指数评分（50.15±9.89）分,护理满意度的健康教育（3.46±0.58）分、服务态度（3.70±0.50）分、护理过程（3.75±0.52）分、护理效果（3.34±0.47）分,护理措施遗漏率为30%,护理质量合格率为80%;两组比较差异均有统计学意义（P〈0.05）.结论 一级护理评估单的应用能改善骨质疏松性椎体压缩性骨折术后患者的恢复情况,提高患者日常生活能力和护理质量,值得临床推广.

Objective To explore the clinical application of first class nursing evaluation list in patients with osteoporotic vertebral compression fractures after surgery.Methods Totally 100 patients with osteoporotic vertebral compression fractures hospitalized in the Department of Spinal Surgery of our hospital were selected from February 2014 to February 2016 by convenience sampling. 50 patients selected from February 2014 to January 2015 were divided into the control group, while 50 patients selected from February 2015 to February 2016 were divided into the observation group. Patients in the control group received routine nursing evaluation sheet for inspecting and supervising the implementation of postoperative nursing measure, while patients in the observation group also received the postoperative first class nursing evaluation list about osteoporotic vertebral compression fractures for inspecting and supervising the implementation of postoperative nursing measures. The ability of daily life, nursing satisfaction and quality of care of patients between the two groups were compared.Results The Barthel index score of patients in the observation group one week after surgery was （84.39±12.75）, health education in nursing satisfaction （4.31±0.65）, service attitude （4.36±0.31）, nursing process （4.38±0.33）, nursing effect （4.12±0.41）, the nursing measure omission rate 4%, and the pass rate of quality of care 98%; while in the control group, the Barthel index score was （50.15±9.89） （one week after surgery）, health education （3.46±0.58）, service attitude （3.7±0.50）, nursing process （3.75±0.52）, nursing effect （3.34±0.47）, nursing measure omission rate（30%）, the pass rate of quality of care 80% （P〈0.05）. Conclusions Application of first class nursing evaluation list can greatly improve the recovery situation of patients with osteoporotic vertebral compression fractures, and it also can improve the ability of daily living and nursing quality, so it is worth clinical promotion.