摘要
目的探讨连续性护理对胸腰椎压缩性骨折手术患者临床并发症及心理状态的影响。方法以2013年7月-2015年9月在中国医科大学附属盛京医院行手术治疗的胸腰椎压缩性骨折110例患者为研究对象,随机分为干预组和对照组各55例,对照组采用常规护理,干预组采用胸腰椎骨折连续护理,包括院内围术期护理、出院指导、康复护理指导、家庭护理指导等,对比两组心理状态采用世界最常用的心理健康评估量表症状自评量表（SCL-90）评分,包括躯体化、抑郁、焦虑、强迫、敌对、恐怖、偏执、人际关系敏感、精神病性等9个维度,及日常生活能力评分（ADL）,包括大便、小便、修饰、用厕、吃饭、转移、活动、穿衣、上楼梯、洗澡等项目,观察两组临床并发症发生率,包括深静脉血栓形成、肺部感染、尿路感染、压疮、腹胀、尿潴留、便秘。结果干预后,干预组各项SCL-90各维度评分均明显降低（P〈0.05）,且均明显低于对照组（P〈0.05）。干预后,干预组ADL评分[（68.25±6.59）分]明显升高（P〈0.05）,且明显高于对照组[（55.16±5.67）分]（P〈0.05）。干预组腹胀、尿潴留、便秘发生率（1.82%、0%、3.64%）明显低于对照组（9.09%、7.27%、14.55%）（P〈0.05）,总并发症发生率明显低于对照组（7.27%比47.27%）（P〈0.05）。结论连续性护理可明显改善胸腰椎压缩性骨折手术患者心理状态,降低临床并发症发生率。
Objective To investigate the effect of the continuity of care for vertebral compression fracture clinical complications and psychological state of surgical patients. Methods 110 thoracolumbar compression fractures patients under surgical treatment from July 2013 to September 2015 in Shengjing Hospital of China Medical University were randomly assigned to the intervention group and the control group, with 55 cases in each group. The control group received usual care, the intervention group thoracolumbar fractures used the continuum of care, including hospital perioperative nursing discharge guidance, rehabilitation care and guidance, home care guidance. SCL-90, including 9 dimensions of somatization, depression, anxiety, compulsion, hostility, terror, paranoia, interpersonal sensitivity, mental illness, etc.,and ADL, including stool, urine, modification, defcation, meals, transfers, activities, clothing, stairs, bathing of two groups were compared. The incidence of clinical complications were observed, including deep vein thrombosis, pulmonary infections, urinary tract infections, pressure sores, abdominal distension, urinary retention, constipation. Results After intervention, SCL-90 dimensions scores of intervention group were significantly lower（P〈0.05）, and were significantly lower than those of control group（P〈0.05）. After intervention, the intervention group ADL scores [（68.25±6.59）score]were significantly higher（P〈0.05）, and significantly higer than that of control group [（55.16 ±5.67）score]（P〈0.05）.Rate of bloating, urinary retention, constipation（1.82%, 0%, 3.64%） of intervention group were significantly lower than those of control group（9.09%, 7.27%, 14.55%）（P〈0.05）, overall complication rate was significantly lower than that of control group（7.27% vs 47.27%）（P〈0.05）. Conclusion Continuity of care can significantly improve mental state thoracolumbar vertebral compression fracture surgery patients, reduce the incidence of clinical complications.
出处
《中国医药导报》
CAS
2016年第17期144-148,共5页
China Medical Herald
基金
辽宁省科学技术计划项目(201102252)
关键词
胸腰椎压缩性骨折
连续性护理
并发症
心理状态
Thoracolumbar vertebral compression fractures
Continuity of care
Complication
Mental state
