护理干预颈椎损伤患者行颅骨牵引的依从性评价

Compliance Evaluation of Nursing Intervention for Cervical Traction in Patients with Cervical Spine Injury

目的分析护理干预颈椎损伤患者行颅骨牵引的依从性评价。方法方便选取2017年6月—2018年12月该院收治的颈椎损伤患者56例,采用随机数字表法分为治疗组和对照组,各28例。所有患者均进行颅骨牵引,其中对照组给予常规护理,治疗组在对照组基础上加强护理干预,观察两组患者的颅骨牵引治疗依从性等。结果治疗组牵引依从率96.43%,对照组牵引依从率67.86%,差异有统计学意义(χ2=7.791,P=0.005<0.05)。护理干预后治疗组患者焦虑评分(31.2±2.5)分,对照组患者焦虑评分(38.7±5.4)分,差异有统计学意义(t=6.669,P<0.05)。治疗组患者并发症发生率3.57%,对照组并发症发生率21.43%,差异有统计学意义(χ2=4.082,P=0.043<0.05)。治疗组不完全神经损伤21例,不完全神经损伤好转20例,好转率95.23%;对照组不完全神经损伤19例,不完全神经好转12例,好转率63.16%,差异有统计学意义(χ2=7.085,P=0.008<0.05)。治疗组护理满意率96.43%,对照组护理满意率75.00%,差异有统计学意义(χ2=5.250,P=0.022<0.05)。结论加强颈椎损伤患者行颅骨牵引的护理干预,可以明显提高患者治疗依从性,降低并发症发生率,并提高治疗效果和护理满意度。

Objective To analyze the compliance evaluation of cranial traction in patients with cervical spine injury.Methods Convenient select fifty-six patients with cervical spine injuries admitted to the hospital from June 2017 to December 2018 were randomly divided into the treatment group and the control group.All patients underwent skull traction,in which the control group received routine care,the treatment group strengthened the nursing intervention on the basis of the control group,and observed the compliance of the skull traction treatment between the two groups.Results The traction compliance rate of the treatment group was 96.43%,and the compliance rate of the control group was 67.86%,The difference was statistically significant(χ2=7.791,P=0.005<0.05).After the nursing intervention,the anxiety score of the treatment group was(31.2±2.5)points,and the anxiety score of the control group was(38.7±5.4)points,the difference was statistically significant(t=6.669,P<0.05).The incidence of complications in the treatment group was 3.57%,and the incidence of complications in the control group was 21.43%,The difference was statistically significant(χ2=4.082,P=0.043<0.05).In the treatment group,21 cases of incomplete nerve injury,20 cases of incomplete nerve injury improved,the rate of improvement was 95.23%;19 cases of incomplete nerve injury in the control group,12 cases of incomplete nerve improvement,the improvement rate was 63.16%,the difference was statistically significant(χ2=7.085,P=0.008<0.05).The nursing satisfaction rate of the treatment group was 96.43%,and the nursing satisfaction rate of the control group was 75.00%,and the difference was statistically significant(χ2=5.250,P=0.022<0.05).Conclusion Strengthening the nursing intervention of skull traction in patients with cervical spine injury can significantly improve the patient's treatment compliance,reduce the incidence of complications during traction,and improve the treatment effect and nursing satisfaction.