个体化围手术期护理在胸腰椎结核病患者中的应用效果

Application effect of individualized perioperative nursing in patients with thoracolumbarspinal tuberculosis

目的探讨个体化围手术期护理在胸腰椎结核病患者中的应用效果。方法将2018年3月至2019年2月在本院接受手术治疗的72例胸腰椎结核病患者按随机数字表法分为对照组和观察组,各36例。对照组接受基础护理,研究组接受个体化围术期护理。比较两组的护理效果。结果干预后,研究组的VAS评分低于对照组(P<0.05);研究组的并发症总发生率低于对照组(P<0.05)。研究组的服务质量、沟通解释、服务流程评分均高于对照组(P<0.05)。干预后,研究组的进食、洗澡、修饰、穿衣、控制大便、控制小便、如厕、床椅转移、平地行走、上下楼梯评分均高于对照组(P<0.05)。结论给予胸腰椎结核病患者手术治疗时,于围术期同时加强个体化护理干预,可提高疼痛缓解效果,减少术后并发症,改善患者术后日常活动功能。

Objective To explore the application effect of individualized perioperative nursing in patients with thoracolumbar spinal tuberculosis.Methods Seventy-two patients with thoracolumbar spinal tuberculosis who underwent surgical treatment in our hospital from March 2018 to February 2019 were divided into control group and study group according to the random number table method,with 36 cases in each group.The control group received basic nursing,and the study group received individualized perioperative nursing.The nursing effects of the two groups were compared.Results After intervention,the VAS score of the study group was lower than that of the control group(P<0.05);the total incidence of complications in the study group was lower than that of the control group(P<0.05).The scores of service quality,communication interpretation and service process in the study group were higher than those in the control group(P<0.05).After intervention,the scores of eating,bathing,grooming,dressing,controlling bowel movements,controlling urination,toileting,bed and chair transfer,walking flat,walking up and down stairs in the study group were higher than those in the control group(P<0.05).Conclusion When surgical treatment is given to patients with thoracolumbar spinal tuberculosis,strengthening individualized nursing interventions in perioperative period can improve the pain relief effect,reduce postoperative complications,and improve the daily activities of patients.