摘要
目的探讨整体化护理干预在胸腰椎骨折术后患者中的应用价值。方法选取山东大学齐鲁医院2020年1月-2021年1月收治的胸腰椎骨折患者89例,按照随机数字表法分为对照组(44例)和试验组(45例)。对照组采用常规护理,试验组在对照组的基础上采用整体化护理干预。比较2组患者干预后腰背肌功能恢复情况;比较2组患者干预前后VAS、SAS、SDS评分;比较2组患者干预期间并发症发生情况;比较2组患者护理满意度。结果试验组患者干预后腰背肌功能恢复总有效率为91.11%,高于对照组的65.90%(P<0.05);与干预前相比,干预后2组VAS、SAS、SDS评分均降低,且试验组低于对照组(P<0.05);对照组患者干预期间并发症总发生率为20.45%,试验组为4.44%,差异显著(P<0.05);对照组患者的护理满意度为65.91%,试验组为93.33%,差异显著(P<0.05)。结论整体化护理干预能有效促进胸腰椎骨折手术患者的腰背肌功能恢复,减轻疼痛程度,消除焦虑、抑郁等不良情绪,提高护理满意度,降低并发症发生率。
Objective To explore the application value of holistic nursing intervention in patients with thoracolumbar fracture after operation. Methods 89 patients with thoracolumbar fractures in our hospital from January2020 to January 2021 were divided into the control group(44 cases)and the experimental group(45 cases).The control group was given routine nursing intervention,the experimental group was given holistic nursing intervention on the basis of the control group.The recovery of lumbar and dorsal muscle function was compared after intervention;VAS,SAS and SDS scores were compared before and after intervention;The occurrence of complications during the intervention of the two groups of patients were compared;The nursing satisfaction of the two groups of patients after the intervention were compared.Results The total effective rate of the experimental group was 91.11%,which was higher than 65.90% of the control group(P<0.05);Compared with before intervention,VAS,SAS and SDS scores of the two groups decreased after intervention,and the experimental group was lower than the control group(P<0.05);The total incidence of complications in the control group during the intervention period was 20.45%,the total incidence of complications in the experimental group was 4.44%,and the total incidence of complications in the experimental group was lower than that in the control group(P<0.05);The nursing satisfaction of patients after intervention was 65.91%,and the nursing satisfaction of patients in the experimental group was 93.33% after intervention.The nursing satisfaction of patients in the experimental group was higher than that of patients in the control group(P<0.05).Conclusion Holistic nursing intervention can effectively promote the recovery of lumbodorsal muscle function of patients with thoracolumbar fractures,reduce the degree of pain,eliminate anxiety,depression and other negative emotions,improve patient’s nursing satisfaction,reduce the incidence of patient complications,and have high safety.
作者
于凤英
Yu Fengying(The Qilu Hospital of Shandong University,Ji'nan,Shandong 250000)
出处
《基层医学论坛》
2022年第36期4-6,共3页
The Medical Forum
关键词
胸腰椎骨折
整体化护理
腰背肌功能
疼痛
心理状态
并发症
满意度
Thoracolumbar fracture
Holistic nursing
Lumbar dorsal muscle function
Pain
Psychological states
Complications
Satisfaction
