护理模式联合心理干预对老年OVCF患者术后情绪的影响

目的 探讨协同护理模式联合心理干预对老年骨质疏松性胸腰椎压缩骨折患者（OVCF）术后负性情绪及遵医行为的影响.方法 2015年2月至2017年2月行经皮椎体成形术治疗老年OVCF患者108例,依照入院顺序分为观察组与对照组各54例.对照组展开常规护理,观察组于常规护理基础上展开协同护理模式联合心理干预.比较两组干预后遵医行为与干预前后疼痛程度评分（VAS）、日常生活能力评分（BI）、抑郁评分（SDS）、焦虑评分（SAS）、生活质量评分（SF-36）.结果 干预后观察组遵医行为率92.59％高于对照组70.37％,差异有统计学意义（P〈0.05）.干预后与对照组比较,观察组VAS评分降低,BI评分提高（P〈0.05）;SDS及SAS评分均降低（P〈0.05）.干预后观察组SF-36评分高于对照组,差异有统计学意义（P〈0.05）.结论 对行经皮椎体成形术治疗的老年骨质疏松性胸腰椎压缩骨折患者采取协同护理模式联合心理干预可明显改善患者遵医行为,降低疼痛感,提高日常生活能力,缓解负性情绪,提高生活质量.

Objective To explore the effect of collaborative nursing model and psychological intervention on negative emotion and compliance behavior in elderly patients with osteoporotic thoracolumbar compression fracture （ OVCF ） . Methods From Febmary 2015 to February 2017, 108 patients with OVCF were treated with percutaneous vertebroplasty in our hospital.They were divided into observation group and control group according to the order of admission, each with 54 cases.The control group were received routine nursing care, while the observation group was given collaborative nursing model and psychological intervention on the basis of routine nursing care.The compliance behaviors and the scores of pain degree （VAS） , the daily living ability score （ BI ） , the depression score （ SDS ） , the anxiety score （ SAS ） and the quality of life score （ SF-36 ） between the two groups were compared before and after intervention. Results The compliance rate of the observation group was 92.59% （ 50/54 ） , higher than that of the control group 70.37% （ 38/54 ） , the difference was statistically significant （P〈0.05） .The difference of VAS and BI scores between the two groups before intervention was not statistically significant （ P〉0.05 ） .Compared with the control group, the VAS score of the observation group decreased, and the BI score improved, the difference was statistically significant （P〈0.05） .Compared with the control group, the scores of SDS and SAS in the observation group were decreased after the intervention, and the difference was statistically significant （P〈0.05） .After the intervention, the SF-36 score of the observation group was higher than that of the control group, the difference was statistically significant （ P〈0.05 ） .Conclusion Collaborative nursing model and psychological intervention can improve the compliance behavior of the elderly patients with osteoporotic thoracolumbar compression fracture treated by pereutaneous vertebroplasty.It can reduce the pain, improve the daily/Jving ability, relieve the negative emotions and improve the quality of life.