观察运用康复护理对脊柱骨折合并脊髓损伤患者睡眠质量的影响

To Observe the Effect of Rehabilitation Nursing on Sleep Quality in Patients with Spinal Fracture Complicated with Spinal Cord Injury

目的:观察运用康复护理对脊柱骨折合并脊髓损伤患者睡眠质量的影响。方法:选取2020年2月至2021年12月福建省龙岩市第一医院收治的脊柱骨折合并脊髓损伤患者82例作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组给予常规护理干预,观察组给予康复护理干预。采用科室自制的问卷调查表评估患者的护理满意度,观察对比2组患者术后康复期间出现的褥疮、便秘和泌尿系统感染的发生情况,采用WHO-QOL自制生命质量综合评定量表测评患者的躯体、角色、社会和认知功能情况,采用匹兹堡睡眠质量指数量表(PSQI)评价量表比较2组患者的睡眠质量,采用以简易运动功能评分法(FMA)测评肢体运动能力,采用焦虑自评量表(SAS)比较2组患者的焦虑改善情况。结果:护理干预后,观察组患者的并发症发生率显著低于对照组,观察组护理总满意度显著高于对照组,观察组WHO-QOL自制生命质量综合评定量表评分、FMA评分显著高于对照组,观察组PSQI评分、SAS评分显著低于对照组,观察组褥疮、便秘和泌尿系统感染的发生率显著低于对照组,2组比较差异均有统计学意义(P<0.05)。结论:对脊柱骨折合并脊髓损伤患者实施康复护理干预不仅能加快患者康复进程,还能有效提升其运动功能,降低不良反应发生率,值得临床推广使用。

Objective:To observe the effect of rehabilitation nursing on sleep quality in patients with spinal fracture complicated with spinal cord injury.Methods:A total of 82 patients with spinal fracture combined with spinal cord injury admitted to the First Hospital of Longyan City,Fujian Province from February 2020 to December 2021 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group received routine nursing intervention,and the observation group received rehabilitation nursing intervention.The patient′s nursing satisfaction was evaluated by using the questionnaire made by the department,the occurrence of bedsores,constipation and urinary system infection during postoperative rehabilitation of 2 groups of patients was observed and compared,and the physical,role,social and cognitive functions of the patients were evaluated by the WHO-QOL comprehensive quality of Life rating scale made by the department.The Pittsburgh Sleep Quality Index(PSQI)evaluation scale was used to compare the sleep quality of 2 groups.The simple Motor function score(FMA)was used to evaluate the physical movement ability.The self-rating Anxiety Scale(SAS)was used to compare the improvement of the anxiety between 2 groups.Results:After nursing intervention,the complication rate of patients in the observation group was significantly lower than the control group,the total satisfaction of nursing in the observation group was significantly higher than the control group,the score of WHO-QOL self-made comprehensive quality of Life rating scale and FMA score were significantly higher than the control group,and the score of PSQI and SAS in the observation group were significantly lower than the control group.The incidence of bedsore,constipation and urinary system infection in the observation group was significantly lower than the control group,and the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Rehabilitation nursing intervention for spinal fracture patients with spinal cord injury can not only accelerate the rehabilitation process of patients,but also effectively improve their motor function,reduce the incidence of adverse reactions,worthy of clinical promotion and use.