罗伊适应模式护理干预在胸腰椎压缩性骨折患者中的应用价值

Application value of Roy adaptation model nursing intervention in patients with thoracolumbar compression fracture

目的探讨罗伊适应模式(RAM)护理干预在胸腰椎压缩性骨折患者中的应用价值。方法选取2019年8月至2021年8月九江学院附属医院收治的60例胸腰椎压缩性骨折患者为研究对象,按随机数字表法分为对照组和观察组,每组30例。对照组采取常规干预,观察组在常规护理基础上采用RAM护理,两组患者均持续护理至出院,并随访至术后3个月。比较两组患者的依从性、生活质量和并发症发生情况。结果观察组总依从率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05);观察组干预后的世界卫生组织生存质量量表简表(WHOQOL-BREF)中,生理为(78.98±4.24)分、心理为(80.54±4.42)分、社会为(76.52±4.94)分、环境为(76.95±4.17)分,均高于对照组的(70.34±3.32)、(72.40±4.37)、(68.44±4.87)、(67.48±4.12)分,差异有统计学意义(P<0.05);观察组的并发症总发生率为6.67%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论RAM护理干预能够增强胸腰椎压缩性骨折患者依从性,减少并发症,从而改善患者生活质量,有助于疾病康复。

Objective To explore the application value of Roy adaptation mode(RAM)nursing intervention in patients with thoracolumbar compression fracture.Methods Sixty patients with thoracolumbar compression fracture admitted to the Affiliated Hospital of Jiujiang University from August 2019 to August 2021 were selected as the research objects,and were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received routine intervention,and the observation group received RAM care on the basis of routine care.Patients in both groups continued nursing until discharge,and were followed up until 3 months after surgery.Treatment compliance,quality of life and complications were compared between the two groups.Results The treatment compliance rate of the observation group was 93.33%,higher than that of the control group(73.33%),and the difference was statistically significant(P<0.05).According to the World Health Organization quality of life scale(WHOQOL-BREF),the physiological was(78.98±4.24)points,psychological was(80.54±4.42)points,social was(76.52±4.94)points and environmental was(76.95±4.17)points in the observation group after intervention,and they were higher than those of the control group,which were(70.34±3.32),(72.40±4.37),(68.44±4.87)and(67.48±4.12)points,the differences were statistically significant(P<0.05).The total complication rate in the observation group was 6.67%,lower than that in the control group(30.00%),the difference was statistically significant(P<0.05).Conclusion Ram nursing intervention can enhance the treatment compliance of patients with thoracolumbar compression fracture and reduce complications,so as to improve the quality of life of patients and contribute to the rehabilitation of the disease.