基于保护动机理论的护理干预在脊柱骨折患者护理中的应用效果及barthel指数影响观察

Application effects and barthel index observation of nursing intervention based on protection motivation theory in nursing of patients with spinal fracture

目的:探讨基于保护动机理论的护理干预在脊柱骨折患者护理中的应用效果及barthel指数影响.方法:选取我院2016年11月-2018年3月收治的脊柱骨折患者80例,随机分为观察组和对照组,每组各40例.对照组接受常规护理干预,观察组在此基础上实施基于保护动机理论的护理干预,比较2组护理满意度、VAS评分、barthel指数评分.结果:2组患者护理前VAS评分无统计学差异(P>0.05),护理后,观察组VAS评分为(2.73±0.12)分,对照组VAS评分为(3.13±0.25)分,2组相比差异显著(P<0.05);观察组护理满意度比对照组高,2组相比差异显著(P<0.05);2组患者护理前barthel指数评分无统计学差异(P>0.05),护理后,观察组barthel指数评分为(84.05±5.95)分,对照组barthel指数评分为(75.21±5.67)分,2组相比具有统计学意义(P<0.05).结论:保护动机理论应用于脊柱骨折患者的护理中,可以让患者对护理人员的护理水平更加满意,有效提高脊柱骨折患者的日常生活能力.

Objective: To discuss the application effects and barthel index observation of nursing intervention based on protection motivation theory in the nursing of patients with spinal fracture. Methods: A total of 80 cases with spinal fracture from November 2016 to March 2018 in our hospital were analyzed. The patients were randomly divided into observation group and control group, with 40 cases in each group. The control group received routine nursing intervention, and 止e observation group implemented nursing intervention based on protection motivation theory, and compared the nursing satisfaction, VAS scores and barthel index scores of the two groups. Results: The nursing satisfaction of the observation group was 92. 50%, and that of the control group was 75.00%( P < 0. 05 ). There were no statistically significant differences in VAS scores before nursing (P > 0. 05 ) between the two groups. After nursing, VAS scores of the observation group were better than those of the control group ( P < 0. 05 ). There was no statistical difference in the barthel index score before nursing (P > 0. 05) between the two groups. After nursing, the barthel index score of the observation group was higher than that of the control group (P < 0. 05 ). Conclusion:The nursing intervention based on protection motivation theory could improve the nursing satisfaction of patients with spinal fracture, reduce their pain and improve their daily living ability.