ERAS理念护理在老年胸腰椎压缩性骨折手术患者中的应用

Application of ERAS Concept Nursing in Elderly Patients Undergoing Surgery for Thoracolumbar Compression Fractures

目的:探讨ERAS理念护理在老年胸腰椎压缩性骨折手术患者中的应用。方法:选取2020年6月—2021年9月厦门大学附属第一医院思明分院收治的64例老年胸腰椎压缩性骨折手术患者为研究对象。根据随机数表法将其分为观察组和对照组,各32例。对照组实施常规护理,观察组在对照组基础上实施ERAS理念护理。比较两组护理前后疼痛程度、心理状况、生活质量,依从性及并发症。结果:护理后,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。护理后,观察组SDS评分、SAS评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组躯体疼痛、精神影响、总体健康、社会活动、生理职能、生理机能、情感职能、活力评分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组服药、康复训练评分均高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为21.88%,明显低于对照组的53.13%,差异有统计学意义(P<0.05)。结论:老年胸腰椎压缩性骨折手术患者采用ERAS理念护理效果较明显,可改善患者依从性及生活质量,同时降低疼痛、焦虑及抑郁程度,减少并发症发生率。

Objective:To explore the Application of ERAS concept nursing in elderly patients undergoing surgery for thoracolumbar compression fractures.Method:Sixty-four elderly patients undergoing surgery for thoracolumbar compression fractures treated in Siming Branch of the First Affiliated Hospital of Xiamen University from June 2020 to September 2021 were selected as the study objects.According to random number table method,the patients were divided into observation group and control group,32 cases in each group.The control group received routine nursing,and the observation group received ERAS concept nursing based on the control group.The pain degree,psychological status,quality of life before and after nursing,compliance and complications were compared between the two groups.Result:After nursing,the visual analogue scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the SDS score and SAS score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of physical pain,mental influence,general health,social activity,role physical,physiological function,emotional function and vitality of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of medication,rehabilitation training and follow-up in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 21.88%,which was significantly lower than 53.13%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Elderly patients undergoing surgery for thoracolumbar compression fractures have obvious effects using ERAS concept nursing,which can improve patient compliance and quality of life,at the same time reduce pain,anxiety and depression degree,and reduce the incidence of complications.