基于良愿前置理论的手术室护理路径在胸腰椎压缩性骨折PKP术中的构建与应用

Construction and application of operating room nursing pathway based on prepositioned conscience theory in PKP for thoracolumbar vertebral compression fractures

目的构建胸腰椎压缩性骨折经皮椎体后凸成形术(PKP)中基于良愿前置理论的手术室护理路径,并探讨其应用效果。方法将本院收治的102例胸腰椎压缩性骨折患者按照随机数字表法分为常规组(51例,常规手术室护理路径)和研究组(51例,基于良愿前置理论的手术室护理路径)。比较两组的应用效果。结果研究组的手术时间短于常规组,手术出血量少于常规组,术中骨水泥超时使用率低于常规组(P<0.05)。研究组的术中并发症总发生率低于常规组(P<0.05)。研究组术后的呼吸频率、心率、血压恢复正常时间均短于常规组(P<0.05)。研究组的手术医师对手术室护理满意度高于常规组(P<0.05)。结论基于良愿前置理论的手术室护理路径在胸腰椎压缩性骨折PKP术中的应用效果显著,可改善手术相关指标,有助于患者早日恢复,且护理满意度高。

Objective To construct the operating room nursing pathway based on prepositioned conscience theory in percutaneous kyphoplasty(PKP)for thoracolumbar vertebral compression fractures,and to explore its application effect.Methods A total of 102 patients with thoracolumbar vertebral compression fractures admitted in our hospital were divided into routine group(51 cases,routine operating room nursing pathway)and study group(51 cases,operating room nursing pathway based on prepositioned conscience theory)according to the random number table method.The application effects of the two groups were compared.Results The operation time of the study group was shorter than that of the routine group,the amount of bleeding during surgery was less than that of the routine group,and the overtime utilization rate of bone cement during surgery was lower than that of the routine group(P<0.05).The total incidence of intraoperative complications in the study group was lower than that in the routine group(P<0.05).The postoperative respiratory rate,heart rate and blood pressure recovery time of the study group were shorter than those of the routine group(P<0.05).The surgeon's satisfaction with operating room nursing in the study group was higher than that in the routine group(P<0.05).Conclusion Operating room nursing pathway based on the prepositioned conscience theory in PKP for thoracolumbar vertebral compression fractures has a significant application effect,which could improve the operation related indexes,help patients recover as soon as possible,and has high nursing satisfaction.