快速康复外科理念在老年骨质疏松性椎体压缩性骨折患者围术期护理中的应用效果分析

Analysis of the Effect of the Concept of Fast Track Surgery on Perioperative Nursing of Senile Patients with Osteoporotic Vertebral Compression Fracture

目的:探讨快速康复外科理念应用于老年骨质疏松性椎体压缩性骨折(OVCF)患者围术期中的临床效果。方法:选取我院骨科2016年2月-2019年2月收治的老年OVCF患者76例,根据随机数表法随机分为观察组和对照组各38例。观察组患者采用快速康复外科理念(FTS)进行护理干预,对照组患者行常规护理干预。比较2组患者护理后的生活质量、术后疼痛情况、术后下床活动时间、住院时间、术后2个月骨折愈合率以及患者对护理的满意度。结果:2组患者护理前健康状况调查量表(SF-36)中健康、情感、生理、社会功能等各维度得分比较无显著差异(P>0.05),护理后观察组患者SF-36各维度得分均明显高于对照组患者(P<0.01);观察组患者术后VAS评分、术后下床活动时间、住院时间均明显低于对照组(P<0.01),术后2个月观察组骨折愈合率明显高于对照组(P<0.01);观察组患者对护理服务满意度明显高于对照组患者(χ^(2)=7.369,P<0.01)。结论:在老年OVCF患者的围术期护理中应用FTS能明显提高临床治疗效果缩短住院时间和改善患者的生活质量,患者对护理服务的满意度高,值得在临床上推广和使用。

Objective:To investigate the perioperative effeet of the concept of Fast track surgery in elderly patients with osteoporotic vertebral compression fracture(OVCF).Methods:76 elderly patients with OVCF admitted to the department of orthopedics of our hospital from February 2016 to February 2019 were randomly divided into observation group and control group according to the random number table method.Patients in the observation group received nursing intervention by fast rehabilitation surgery(FTS),while patients in the control group received routine nursing intervention.The quality of life,postoperative pain,postoperative time of getting out of bed,length of stay,fracture healing rate and patients satisfaction with nursing care were compared between the two groups.Results:There was no significant difference in the scores of health,emotion,physiology and social function in the sf-36 scale before nursing care between the two groups(P>,0.05).The scores of sf-36 in the observation group after nursing care were significantly higher than those in the control group(P<0.01).The postoperative VAS score,postoperative time of getting out of bed,and length of stay in the observation group were significantly lower than those in the control group(P<0.01),and the fracture healing rate of the observation group was significantly higher than that of the control group(P<0.01)2 months after surgery.The nursing service satisfaction of patients in the observation group was significantly higher than that of patients in the control group(χ^(2)=7.369,P<0.01).Conclusions:The application of FTS in the perioperative nursing of elderly OVCF patients can significantly improve the clinical treatment effect,shorten the length of stay and improve the quality of life of patients.Patients have a high degree of satisfaction with nursing services,which is worthy of clinical promotion and use.