延续护理在椎体骨质疏松骨折术后患者中的应用及对自我管理能力的影响

Application of continuous care in postoperative patients with vertebral osteoporotic fractures and its effect on self-management ability

目的 探讨延续护理在椎体骨质疏松骨折患者术后的应用效果。方法 选取医院2020年7月—2022年7月就诊的椎体骨质疏松骨折患者160例,按照组间基线资料均衡可比的原则分为对照组和观察组,各80例。对照组给予常规护理干预,观察组在对照组基础上给予延续护理。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者干预前后情绪状态,采用Oswestry功能障碍指数(ODI)评价两组患者肢体功能,采用简易应对方式问卷、成年人健康自我管理能力测评量表(AHSMSRS)评价两组患者应对方式、自我管理能力,采用生活质量综合评定问卷-74(GQOL-74)评价两组患者生活质量。结果干预后观察组患者SAS、SDS、ODI评分低于对照组,差异均具有统计学意义(P<0.05);干预后观察组患者AHSMSRS、GQOL-74评分高于对照组,差异均具有统计学意义(P<0.05);干预后与对照组比较,观察组患者积极应对评分较高,消极应对评分较低,差异均具有统计学意义(P<0.05)。结论 延续护理可提升骨质疏松骨折患者自我管理能力,减轻术后负性情绪,调节应对方式,改善肢体功能及生活质量。

Objective To explore the application effect of continuous care in postoperative patients with vertebral osteoporotic fractures.Methods To select 160 patients with vertebral osteoporotic fractures who visited the hospital from July 2020 to July 2022,they were divided into a control group and an observation group based on the principle of balanced and comparable baseline data between groups,with 80 patients in each group.The control group received routine nursing intervention,while the observation group received continued nursing on the basis of the control group.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the emotional status of two groups of patients before and after intervention,Oswestry dability index(ODI)was used to evaluate their limb function,simplifi ed coping style questionnaire and the rating scale of health self-management skill for adults(AHSMSRS)were used to evaluate their coping style and self-management ability,and generic quality of life inventory-74(GQOL-74)was used to evaluate their quality of life.Results After the intervention,the scores of SAS,SDS and ODI in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of AHSMSRS and GQOL-74 in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,compared with the control group,the observation group had a higher score for positive coping and a lower score for negative coping,the differences were statistically significant(P<0.05).Conclusion Continuing care can enhance the self-management ability of patients with osteoporosis fractures,reduce postoperative negative emotions,regulate coping styles,and improve limb function and quality of life.