难复性寰枢椎脱位患者的围手术期护理及对患者预后质量的影响

Perioperative nursing care for patients with irreducible atlantoaxial dislocation and its influence on prognosis quality

目的 探讨难复性寰枢椎脱位患者围手术期护理及对患者预后质量的影响。方法 选取2014年1月至2018年12月于本院神经外科就诊的难复性寰枢椎脱位患者65例进行回顾性分析,根据护理方法不同将其分为观察组(n=33)和对照组(n=32)。对照组给予常规护理,观察组患者在此基础上给予针对性的护理,包括适宜性训练、切口情况观察及术后功能训练。比较两组患者并发症发生情况,采用焦虑自评量表(SAS)和抑郁自评量(SDS)表对入、出院时患者不良情绪进行评价,采用简明生命质量评定表(SF-36)对患者预后生活质量进行评定。结果 对照组并发症发生率为12.50%,观察组并发症发生率为3.03%,差异无统计学意义(P > 0.05)。出院时两组SAS 及SDS 评分均明显降低,观察组SF-36 量表中的各项指标评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论 对于难复性寰枢椎脱位患者围手术期进行针对性护理,可以缓解患者焦虑抑郁等不良情绪,提高预后。

Objective To investigate the perioperative nursing care for patients with irreducible atlantoaxial dislocation and the impact on the prognosis quality. Methods 65 patients with irreducible atlantoaxial dislocation who underwent neurosurgery in our hospital from January, 2014 to December, 2018 was retrospectively analyzed. They were divided into an observation groups (n=33) and a control group (n=32) according to the nursing methods. The control group received routine care, and the observation group gave targeted care on this basis, including suitability training, incision observation, and postoperative functional training. The complications of the two groups were compared. The adverse emotions at admission and discharge were evaluated using the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). The prognosis quality of life was assessed using the Concise Quality of Life Assessment (SF-36). Results The incidence of complications in the control group was 12.50%, and that in the observation group 3.03%(P > 0.05).The scores of SAS and SDS in the two groups were significantly lower at the time of discharge. The scores of the indicators in the SF-36 scale of the observation group were significantly higher than those of the control group (all P < 0.05). Conclusion Targeted nursing care for patients with irreducible atlantoaxial dislocation can relieve their negative emotions, such as anxiety and depression, and improve their prognosis.