围术期优质护理在经皮椎弓根钉内固定术对脊柱骨折的影响

Effect of Perioperative Quality Nursing on Spinal Fracture after Percutaneous Pedicle Screw Internal Fixation

探究围术期优质护理干预在经皮椎弓根钉内固定术治疗脊柱骨折患者中的应用。方法:选取我院2017年3月-2020年1月收治的脊柱骨折患者68例,均行经皮椎弓根钉内固定术治疗。根据数字随机表法,将全部患者分为对照组(行常规护理)和观察组(实施围术期优质护理),每组34例。比较临床指标、椎体相关指标、治疗效果、并发症情况、护理满意度和生活质量。结果:在临床指标、椎体相关指标方面,观察组明显优于对照组(P<0.05);观察组并发症发生率为5.88%,对照组并发症发生率为23.53%,观察组显著低于对照组(P<0.05);观察组患者的治疗总有效率明显高于对照组(P<0.05);观察组患者的护理满意度各项内容评分和生活质量各项评分均明显高于对照组(P<0.05)。结论:经皮椎弓根钉内固定术治疗脊柱骨折患者时,围术期优质护理干预的应用,可缩短患者恢复进程,并发症少、治疗效果高,且提升了患者的护理满意度和生活质量。

Objective:To explore the application of perioperative quality nursing intervention in the treatment of spinal fracture patients with percutaneous pedicle screw internal fixation.Methods:68 patients with spinal fractures treated in our hospital from March 2017 to January 2020 were treated with percutaneous pedicle screw fixation.According to the method of digital random table,all patients were divided into control group(routine nursing)and observation group(implementation of perioperative high-quality nursing),with 34 cases in each group.Clinical indicators,vertebral body related indicators,treatment effect,complications,nursing satisfaction and quality of life were compared.Results:in terms of clinical indexes and vertebral body related indexes,the observation group was significantly better than the control group(P<O.05).The incidence of complications in the observation group was 5.88%,and that in the control group was 23.53%,which was significantly lower than that in the control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The scores of nursing satisfaction and quality of life in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:when percutaneous pedicle screw internal fixation is used to treat patients with spinal fracture,the application of perioperative high-quality nursing intervention can shorten the recovery process of patients,reduce complications,and improve the nursing satisfaction and quality of life of patients.