系统性护理在胸腰椎压缩性骨折术后患者中的应用效果

Application effects of systemic nursing in postoperative patients with thoracolumbar vertebral compression fractures

目的:观察系统性护理在胸腰椎压缩性骨折(TLCF)术后患者中的应用效果。方法:选取2021年1月至2022年4月该院收治的134例TLCF术后患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各67例。对照组实施常规护理,研究组在对照组基础上实施系统性护理,两组均护理3个月。比较两组护理前后椎体功能障碍[Oswestry功能障碍指数(ODI)]评分、日常生活活动能力[Barthel指数(BI)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分、负性情绪[医院焦虑抑郁量表(HADS)]评分,并发症发生率和护理满意度。结果:护理后,研究组ODI、HADS评分均低于对照组,BI、GQOL-74评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为0,低于对照组的8.96%(6/67),差异有统计学意义(P<0.05);研究组护理满意度为97.01%(65/67),高于对照组的88.06%(59/67),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施系统性护理可提高TLCF术后患者日常生活活动能力评分、生命质量评分和护理满意度,降低椎体功能障碍评分、负性情绪评分和并发症发生率,效果优于常规护理。

Objective:To observe application effects of systemic nursing in postoperative patients with thoracolumbar vertebral compression fractures(TLCF).Methods:A prospective study was conducted on 134 postoperative patients with TLCF admitted to the hospital from January 2021 to April 2022.They were divided into study group and control group according to the random number table method,67 cases in each group.The control group was given routine nursing,while the study group was given the systemic nursing on the basis of the control group,both groups were treated for 3 months.The vertebral dysfunction score[Oswestry dysfunction index(ODI)],the activities of daily living[Barthel index(BI)]score,the quality of life score[general quality of life questionnaire-74(GQOLI-74)],the negative emotions[hospital anxiety and depression scale(HADS)]before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the ODI and HADS scores of the study group were lower than those of the control group,the BI and GQOLI-74 scores were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 0,which was lower than 8.96%(6/67)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 97.01%(65/67),which was higher than 88.06%(59/67)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The systemic nursing on the basis of the routine nursing can improve the activities of daily living scores,the quality of life scores and the nursing satisfaction of the postoperative patients with TLCF and reduce the vertebral dysfunction scores,the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.