中医护理在腰椎骨折术后患者中的应用效果

Application effects of traditional Chinese medicine nursing in postoperative patients with lumbar fracture

目的:观察中医护理在腰椎骨折术后患者中的应用效果。方法:回顾性分析2020年11月至2022年8月该院收治的96例腰椎骨折术后患者的临床资料,按照护理方法不同将其分为对照组47例与观察组49例。对照组实施常规护理,观察组在对照组基础上实施中医护理,两组均护理1个月。比较两组护理前后疼痛[视觉模拟评分法(VAS)]、腰椎功能障碍[Oswestry功能障碍指数(ODI)、日本骨科协会评估治疗分数(JOA)]、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度。结果:护理后,观察组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ODI评分低于对照组,JOA评分高于对照组,差异均有统计学意义(P<0.05);护理后,观察组躯体功能、社会功能、物质生活状态、心理功能等GQOLI-74各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为93.88%(46/49),高于对照组的74.47%(35/47),差异有统计学意义(P<0.05)。结论:中医护理应用于腰椎骨折术后患者可降低疼痛评分,改善腰椎功能障碍评分,提高生命质量评分和护理满意度,效果优于常规护理。

Objective:To observe application effects of traditional Chinese medicine nursing in postoperative patients with lumbar fracture.Methods:The clinical data of 96 postoperative patients with lumbar fracture admitted to the hospital from November 2020 to August 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group(47 cases)and observation group(49 cases).The control group received routine nursing,while the observation group received the traditional Chinese medicine nursing on the basis of that of the control group.Both groups were treated for 1 month.The scores of pain[visual analogue scale(VAS)],the lumbar dysfunction[Oswestry disability index(ODI),Japanese Orthopaedic Association(JOA)]and the quality of life[general quality of life inventory-74(GQOLI-74)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the ODI score of the observation group was lower than that of the control group,the JOA score was higher than that of the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of GQOLI-74 dimensions such as physical function,social function,material life status and psychological function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 93.88%(46/49),which was higher than that of the control group 74.47%(35/47),and the difference was statistically significant(P<0.05).Conclusions:The traditional Chinese medicine nursing in the postoperative patients with lumbar fracture can reduce the pain scores,improve the lumbar dysfunction scores,and improve the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.