摘要
目的研究延续性护理干预在胸腰椎骨折伴截瘫患者中的康复效果和并发症观察。方法我院选取2013年9月至2015年12月间收治的胸腰椎骨折伴截瘫患者86例,采用随机数字法分为对照组和观察组,每组各43例。对照组患者给予常规护理模式干预,观察组患者在此基础上采用延续性护理干预。观察护理前后两组患者的焦虑(SAS)、抑郁(SDS)等情绪变化,分析比较两组患者的生活质量评分、各项护理满意度及各项并发症发生率等情况。结果观察组护理后的SAS评分明显低于对照组;观察组的SDS评分明显低于对照组;观察组患者的肢体功能、社交能力、生理职能、情感职能及精神状态等各项指标评分均明显高于对照组(P<0.01);观察组患者的肢体功能、社交能力、生理职能、情感职能及精神状态等各项指标评分均明显高于对照组(P<0.01);观察组患者的各项并发症发生率明显低于对照组。结论延续性护理干预胸腰椎骨折伴截瘫患者能明显提高患者的生活质量,降低患者抑郁、焦虑等不良情绪发生,同时能提高患者的护理满意度,是一种高效的护理模式,同时能降低患者的并发症发生率,安全性较高,值得在临床中推广。
Objective To observe the rehabilitative effects and the complications of transitional care intervention on patients with thoracolumbar fractures with paraplegia. Methods 86 patients suffering from thoracolumbar fractures with paraplegia, admitted in our hospital from September 2013 to December 2015, were selected and randomly divided into the control group and observation group with 43 cases in each group. The control group was given conventional nursing intervention, and the observation group was treated with transitional care intervention. Anxiety （SAS）, depression （SDS） and other emotional changes of the two groups were observed before and after nursing. The quality of life scores, the satisfaction of nursing and the incidence of complications were analyzed and compared be- tween the two groups. Results The SAS scores and SDS scores in the observation group were significantly lower than those in the con- trol group. The scores of limb function, social ability, physiological function, emotional function and mental state of the observation group were significantly higher than those of the control group. （ P〈0. 01 ）. The incidence rate of complication in the observation group was significantly lower than that in the control group. Conclusion Transitional care intervention in patients suffering from thoracolum- bar fractures with paraplegia can significantly improve their quality of life, reduce depression, anxiety and other negative emotions, and can improve patient care satisfaction. Transitional care can is an efficient nursing model, which can reduce the incidence rate of complications in patients with high safety, and is worthy of clinical promotion.
出处
《锦州医科大学学报》
CAS
2017年第1期87-90,共4页
Journal of Jinzhou Medical University
关键词
延续性护理
胸腰椎骨折伴截瘫
康复效果
transitional care
thoracolumbar fracture with paraplegia
rehabilitative effect
