脊柱骨折患者系统化手术室管理方案的建立效果

Effect of systematic operating room nursing for patients with spinal fractures

目的探讨系统化手术室管理方案在脊柱骨折患者中的应用效果。方法选取2021年2月至2023年2月如皋市人民医院收治的80例脊柱骨折患者,将其随机分2组,每组40例。对照组给予手术室常规管理,观察组采用系统化手术室管理方案,比较2组的护理干预效果。结果观察组的生活质量量表(SF-36)得分高于对照组(P<0.05)。观察组的自我护理能力量表(ESCA)评分高于对照组(P<0.05)。观察组干预前骨折风险因子评估工具(FRAX)值为(5.82±0.92),对照组为(5.87±0.95),观察组末次随访结束时的FRAX值为(4.36±0.55),对照组为(5.09±0.53),2组末次随访结束时的FRAX值均低于干预前,且观察组低于对照组(P<0.05)。观察组的并发症发生率为5.00%,低于对照组的32.50%(P<0.05)。观察组护理满意度评分高于对照组(P<0.05)。结论将系统化手术室管理方案应用于脊柱骨折患者中,可减小患者的骨折发生风险,降低患者的并发症发生率,提升其自我护理能力、生活质量和护理满意度。

Objective To explore the effect of systematic operating room nursing for patients with spinal fractures.Methods Eighty patients with spinal fractures admitted to the People's Hospital of Rugao from February 2021 to February 2023 were randomly assigned to receive either routine operating room nursing(control group,n=40)or systematic operating room nursing(observation group,n=40).The nursing intervention effects of the two groups were compared.Results The scores of 36-item Short Form Health Survey(SF-36)and Exercise of Self-Care Agency Scale(ESCA)in the observation group had significantly higher than those of the control group(both P<0.05).The follow-up Fracture Risk Assessment Tool(FRAX)scores of the observation group and the control group were significantly lower than those before the intervention the observation group:(4.36±0.55)points vs(5.82±0.92)points,the control group:(5.09±0.53)points vs(5.87±0.95)points(P<0.05),with inter group significant difference(P<0.05).The rate of complications was significantly lower in the observation group than in the control group(5.00%vs 32.50%,P<0.05).The nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The systematic operating room nursing for patients with spinal fractures can reduce the risk of fractures,lower the incidence of complications,and improve self-care ability,quality of life and satisfaction.