多学科联合时间节点管理在中青年胸腰椎骨折中的应用研究

Application of Multidisciplinary Joint Time Node Management in Thoracolumbar Fracture in Young and Middle-Aged Patients

目的:探讨多学科联合时间节点管理在中青年胸腰椎骨折患者中的应用效果.方法:选取我院2020年1月—2022年12月收治的100例中青年胸腰椎骨折患者为研究对象,按照随机数字表法将其分为对照组与观察组,每组50例.对照组采用时间节点管理护理模式,观察组在对照组基础上采用多学科护理模式.比较2组患者的治疗效率、疼痛程度及肢体功能、腰椎功能恢复效果、治疗依从性及并发症发生情况.结果:观察组入院至手术时间、术后首次下床时间及术后住院时间均短于对照组,组间差异有统计学意义(P<0.05).干预后,观察组疼痛视觉模拟评分低于对照组,日常生活活动能力评定量表评分高于对照组,组间差异有统计学意义(P<0.05).观察组腰椎功能恢复优良率为82.00%,高于对照组的64.00%,并发症总发生率为6.00%,低于对照组的20.00%,治疗依从率为90.00%,高于对照组的74.00%,组间差异有统计学意义(P<0.05).结论:多学科联合时间管理可促进中青年胸腰椎骨折患者临床症状及肢体功能的恢复效果,提高患者治疗依从性,降低术后并发症发生风险.

Objective:To explore the application effect of multidisciplinary joint time node management in middle-aged and young patients with thoracolumbar fracture.Methods:100 middle-aged and young patients with thoracolumbar fracture admitted to our hospital from January 2020 to December 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group adopted the time node management nursing mode,and the observation group adopted the multidisciplinary nursing mode based on the control group.Treatment efficiency,pain degree,limb function,lumbar function recovery effect,treatment compliance and complications were compared between the two groups.Results:The time from admission to operation,the first time of getting out of bed after operation and the postoperative hospital stay in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the Visual Analogue Score of pain in the observation group was lower than that in the control group,and the score of Activity of Daily Living rating scale was higher than that in the control group,with statistical significance(P<0.05).The excellent and good rate of lumbar function recovery in the observation group was 82.00%,higher than 64.00%in the control group;the total incidence of complications was 6.00%,lower than 20.00%in the control group;the treatment compliance rate was 90.00%,higher than 74.00%in the control group,with statistical significance(P<0.05).Conclusion:Multidisciplinary combined time management can promote the recovery of clinical symptoms and limb function in young and middle-aged patients with thoracolumbar fracture,improve the treatment compliance of patients,and reduce the risk of postoperative complications.