脊柱脊髓损伤患者术后骨科康复护理效果观察

Observation on Effect of Postoperative Orthopedic Rehabilitation Nursing for Patients with Spinal Cord Injury

观察对脊柱脊髓损伤术后实施康复护理的临床效果.方法:选取2019年2月-2020年7月脊柱脊髓损伤病例89例,术后护理模式分组,观察组(骨科康复护理)45例,对照组(常规术后护理)44例,比较脊髓功能、生存质量、身心状态、并发症情况、护理评价.结果:脊髓功能比较,观察组运动功能、针刺觉和轻触觉优于对照组,差异有统计学意义(P<0.05);并发症比较,观察组发生率为6.67%(3/45),低于对照组的27.27%(12/44),差异有统计学意义(P<0.05);生活质量比较,观察组为(80.37±7.24)分,高于对照组的(65.13±6.82)分,差异有统计学意义(P<0.05);身心状态比较,观察组抑郁为(25.53±3.62)分,轻于对照组的(36.40±5.01)分,观察组焦虑为(27.96±3.41)分,轻于对照组的(37.23±4.82)分,观察组疼痛为(2.80±0.62)分,轻于对照组的(5.93±0.51)分,差异有统计学意义(P<0.05);护理评价比较,观察组优良率为91.11%(41/45),高于对照组的68.18%(30/44),差异有统计学意义(P<0.05).结论:在脊柱脊髓损伤手术治疗后进行骨科康复护理,可促进脊髓功能恢复,减少并发症,改善生活质量与身心状态,提高护理评价,在脊髓损伤术后应用护理成效显著.

Objective:To observe the clinical effect of rehabilitation nursing after spinal cord injury.Methods:A total of 89 patients with spinal cord injury from February 2019 to July 2020 were selected,and the postoperative nursing mode was divided into group A(orthopedic rehabilitation nursing)45 cases,group B(routine postoperative nursing)44 cases,and the spinal cord function,quality of life,physical and mental state,complications,and nursing evaluation were compared.Results:The motor function,acupuncture sensation and light touch in group A were better than those in group B,and the difference was statistically significant(P<0.05).The incidence of complications in group A[6.67%(3/45)]was lower than that in group B[27.27%(12/44)],and the difference was statistically significant(P<0.05).Quality of life in group A[(80.37±7.24)points]was higher than that in group B[(65.13±6.82)points],and the diference was statisticaly significant(P<0.05).The depression of group A[(25.53±3.62)points]was lighter than that of group B[(36.40±5.01)points],and the anxiety of group A[(27.96±3.41)points]was lighter than that of group B[(37.23±4.82)points].The pain in group A[(2.80±0.62)points]was lighter than that in group B[(5.93±0.51)points],and the difference was statistically significant(P<0.05).The excellent and good rate of group A[91.11%(41/45)]was higher than that of group B[68.18%(30/44)],the difference was statistically significant(P<0.05).Conclusion:Orthopaedic rehabilitation nursing after spinal cord injury surgery can promote spinal cord function recovery,reduce complications,improve the quality of life and physical and mental state,improve nursing evaluation,the application of nursing after spinal cord injury is significant.