摘要
目的探讨心理护理结合加速康复外科护理在骨质疏松性胸腰椎压缩性骨折患者中的应用价值。方法回顾性分析2019年3月至2021年9月长江航运总医院收治的90例骨质疏松性胸腰椎压缩性骨折患者的病例资料,按护理方法的差异进行分组,分为对照组和观察组。对照组44例患者给予常规护理结合心理护理,观察组46例患者给予心理护理结合加速康复外科护理。比较2组患者的恢复指标、心理状态、血清生化指标和骨代谢指标。结果护理7 d和1个月后,2组的视觉模拟评分法、焦虑自评量表和抑郁自评量表评分,以及核因子κB受体活化因子配体水平均低于护理前,骨保护素水平均较护理前升高,且观察组均优于同期对照组;观察组的首次下床活动时间早于对照组,住院时间短于对照组,均有统计学差异(P均<0.05)。护理1个月后,2组的骨钙素(BGP)水平均较护理前升高,血钙浓度均较护理前降低(P均<0.05);护理7 d后,2组的BGP水平与护理前对比无统计学差异(P均>0.05),血钙浓度均较护理前降低(P均<0.05);护理7 d和1个月后,观察组的BGP水平和血钙浓度均优于同期对照组(P均<0.05)。结论心理护理结合加速康复外科护理可提高骨质疏松性胸腰椎压缩性骨折患者的恢复效率,改善其心理状态、血清生化指标和骨代谢指标。
Objective To explore the application value of psychological nursing combined with fast-track surgery nursing in patients with osteoporotic thoracolumbar vertebral compression fractures.Methods A retrospective analysis was made on the data of 90 patients with osteoporotic thoracolumbar vertebral compression fractures admitted to General Hospital of the Yangtze River Shipping from March 2019 to September 2021.The patients were assigned into a control group and an observation group according to the difference in nursing methods.The 44 patients in the control group received routine nursing combined with psychological nursing,while the 46 patients in the observation group received psychological nursing combined with fast-track surgery nursing.The recovery indicators,psychological status,serum biochemical indicators,and bone metabolism indicators were compared between the two groups.Results After 7 days and 1 month of nursing,the scores of the Visual Analogue Scale,Self-Rating Anxiety Scale,and Self-Rating Depression Scale,and the level of receptor activator of nuclear factor-κB ligand in both groups were lower than those before nursing,and the level of osteoprotegerin was higher than that before nursing.The observation group was superior to the control group on the corresponding period.The first time of getting out of bed and the hospitalization time in the observation group were shorter than those in the control group.There were statistically significant differences(all P<0.05).After 1 month of nursing,the level of bone Gla protein(BGP)in both groups was higher than that before nursing,and the blood calcium level was lower than that before nursing(all P<0.05).After 7 days of nursing,there was no statistically significant difference in BGP level of both groups when compared with that before nursing(both P>0.05),and the blood calcium level decreased compared with that before nursing(both P<0.05).After 7 days and 1 month of nursing,the BGP and blood calcium levels in the observation group were better than those in the
作者
李敏
王妮
王晗
LI Min;WANG Ni;WANG Han(General Hospital of the Yangtze River Shipping,Wuhan,Hubei,430000,China)
出处
《中西医结合护理（中英文）》
2023年第6期13-16,共4页
Journal of Clinical Nursing in Practice
关键词
骨质疏松性
胸腰椎压缩性骨折
加速康复外科护理
心理护理
骨代谢指标
osteoporosis
thoracolumbar vertebral compression fracture
fast-track surgery nursing
psychological nursing
bone metabolism indicator
