首页|以中西医结合护理为导向改善胸腰椎骨折患者术后并发症的干预效果

以中西医结合护理为导向改善胸腰椎骨折患者术后并发症的干预效果

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目的 分析以中西医结合护理为导向的干预措施改善胸腰椎骨折患者术后并发症的效果.方法 随机选取2021年1月—2023年5月胸腔椎骨折后于汕头仁济骨科医院、汕头市中心医院、空军军医大学西京医院接受手术治疗的70例患者作为研究对象,以不同护理措施分为两组,对照组(35例)接受常规护理,观察组(35例)在对照组基础上接受以中西医结合护理为导向的护理.比较两组患者术后并发症发生情况、术后疼痛程度、医学应对方式评分(Medical Coping Mode Questionnaire,MCMQ).结果 观察组术后并发症总发生率为5.71%,低于对照组的28.57%,差异有统计学意义(χ2=6.437,P=0.011).观察组无痛率(57.14%)高于对照组,轻度疼痛率(25.71%),中度疼痛率(11.43%),重度疼痛率(5.71%)均低于对照组,差异有统计学意义(P均<0.05).观察组应对方式屈服评分(16.51±1.04)分、回避评分(24.31±2.35)分低于对照组,面对评分(30.52±2.01)分高于对照组,差异有统计学意义(P均<0.001).结论 以中西医结合护理为导向开展胸腰椎骨折患者护理,能够减少其术后并发症发生率,促进患者积极面对治疗和护理.
Effect of Intervention on Improvement of Postoperative Complications in Patients with Thoracolumbar Fracture Guided by Integrated Chinese and Western Medicine Nursing
Objective To analyze the effect of intervention measures guided by integrated Chinese and western medi-cine nursing in improving postoperative complications in patients with thoracolumbar fracture.Methods A total of sev-enty patients with thoracolumbar fracture who received surgical treatment in Shantou Renji Orthopedic Hospital,Shan-tou Central Hospital and Xijing Hospital of Air Force Military Medical University from January 2021 to May 2023 were randomly selected as the study objects.They were divided into two groups according to the different nursing measures,thirty-five patients in the control group received routine nursing,and thirty-five patients in the observa-tion group received integrated Chinese and western medicine nursing based on the control group.Postoperative com-plications occurrence,postoperative pain,Medical Coping Mode Questionnaire(MCMQ)of two groups were compared.Results The total rate of postoperative complications in the observation group was 5.71%,lower than 28.57%in the control group,and the difference was statistically significant(χ2=6.437,P=0.011).The pain-free rate of observation group(57.14%)was higher than that of control group,mild pain rate of 25.71%,moderate pain rate of 11.43%,and se-vere pain rate of 5.71%were lower than those of the control group,and the differences were statistically significant(all P<0.05).The coping style yielding score(16.51±1.04)points and avoidance score(24.31±2.35)points of the observa-tion group were lower than those of the control group,and the facing score(30.52±2.01)points was higher than that of the control group,and the differences were statistically significant(all P<0.001).Conclusion Nursing care for patients with thoracolumbar fracture guided by integrated Chinese and western medicine can reduce postoperative complica-tions and promote patients to face treatment and nursing actively.

Thoracolumbar fracturePostoperative complicationsNursing of integrated Chinese and western medicineEffect

苏健、蔡少苹、李谊、王春霞

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汕头仁济骨科医院骨科,广东汕头 515041

汕头市中心医院普外科,广东汕头 515041

空军军医大学西京医院脊柱外科,陕西西安 710032

胸腰椎骨折 术后并发症 中西医结合护理 效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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