ESPCS宣教护理模式对老年骨质疏松性胸腰椎骨折患者生活质量的影响

Effect of ESPCS Mission Care Model on Quality of Life in Elderly Patients with Osteoporotic Thoracolumbar Fractures

目的分析ESPCS宣教护理模式在老年骨质疏松性胸腰椎骨折患者中的应用效果。方法选择南京医科大学附属江宁医院2023年1月至2023年8月共112例骨质疏松性胸腰椎骨折老年患者,均行手术治疗,采用密闭信封法分为对照组(n=56)、观察组(n=56)。对照组术后采取常规护理,观察组结合ESPCS宣教护理。干预前、干预3个月,对比两组健康行为量表、日常生活能力量表(ADL)、匹兹堡睡眠质量指数(PSQI)、生活质量简表(WHOQOL-100)评分。结果干预3个月,观察组饮食、服药、运动、光照各项评分均高于对照组,生活能力评分低于对照组,睡眠效率、睡眠质量、入睡时间、催眠药物、睡眠时间、睡眠障碍、日间功能障碍评分低于对照组,生理功能、心理能力、社交能力、精神/信仰、环境状态评分高于对照组(均P<0.05)。结论ESPCS宣教护理模式应用于老年骨质疏松性胸腰椎骨折患者,能够增强患者健康行为,提高生活能力,改善睡眠质量与生活质量。

Objective To analyze the application effect of ESPCS model in elderly patients with osteoporotic thoracolumbar fracture.Methods A total of 112 elderly patients with osteoporotic thoracolumbar fracture from Jiangning Hospital affiliated to Nanjing Medical University from January 2023 to August 2023,all of whom were selected for surgical treatment and divided into control group(n=56)and observation group(n=56)by closed envelope method.The control group took routine care after surgery,and the observation group combined with ESPCS mission care.Before the intervention and 3 months after the intervention,the health behavior scale,daily life scale(ADL),Pittsburgh sleep quality index(PSQI),and quality of life scale(WHOQOL-100)were compared.Results At 3 months of intervention,the observation group had higher scores than the control group in all categories of diet,medication,exercise and light,lower scores than the control group in ability to live,lower scores than the control group in sleep efficiency,sleep quality,time to fall asleep,hypnotic medication,sleep duration,sleep disorders,and daytime dysfunction,and higher scores than the control group in physiological functioning,psychological ability,social ability,spirituality/beliefs,and environmental status(all P<0.05).Conclusions ESPCS education and nursing model applied to elderly patients with osteoporotic thoracolumbar fracture,can enhance patient health behavior,improve life ability,improve sleep quality and quality of life.