摘要
目的:探讨阶段性康复护理在脊椎应力性骨折椎体成形术患者中的应用效果.方法:选择抚州市东乡区人民医院2020 年4 月-2021年6 月收治的 76 例脊椎应力性骨折患者为研究对象,按随机数字表法分为 2 组,各 38 例.对照组实施常规护理,观察组实施阶段性康复护理,2 组均持续护理 2 个月.对比 2 组疼痛程度、腰背功能、并发症、生活质量及护理满意度.结果:护理后,观察组疼痛视觉模拟评分为(2.65±0.56)分,低于对照组的(4.11±0.78)分,差异有统计学意义(P<0.05);观察组日本骨科协会评估治疗分数中的主观症状、临床体征、日常生活及总分评分分别为(7.11±0.96)分、(4.43±0.57)分、(11.65±1.64)分、(23.12±3.45)分,均高于对照组的(5.56±0.83)分、(3.68±0.52)分、(9.11±1.35)分、(18.19±2.69)分,组间差异有统计学意义(P<0.05);观察组生活质量综合评定问卷中的心理、躯体、社会功能及物质生活状态评分分别为(82.81±7.60)分、(83.86±6.77)分、(82.86±6.98)分、(84.79±7.35)分,均高于对照组的(74.73±6.25)分、(75.73±6.26)分、(76.74±6.25)分、(73.76±6.28)分,组间差异有统计学意义(P<0.05).观察组并发症发生率为 5.26%,低于对照组的 21.05%,差异有统计学意义(P<0.05);观察组护理满意度为 94.74%,高于对照组的 76.32%,差异有统计学意义(P<0.05).结论:阶段性康复护理能够促进脊椎应力性骨折椎体成形术患者腰背功能恢复,减轻疼痛,有利于改善生活质量,同时还可降低术后并发症发生风险,改善预后,患者满意度较高.
Abstract
Objective:To investigate the effect of phased rehabilitation nursing in vertebroplasty patients with spinal stressfracture.Methods:76 patients with spinal stress fracture admitted to Dongxiang District People's Hospital of Fuzhou City from April 2020 to June 2021 were selected as the study objects,and were divided into 2 groups according to random number table method,with 38 pa-tients in each group.The control group received routine nursing,and the observation group received phased rehabilitation nursing.Both groups received continuous nursing for 2 months.The pain degree,lumbar and back function,complications,quality of life and nursing satisfaction were compared between the two groups.Results:After nursing,the visual analogue score of pain in the observation group was(2.65±0.56)points,which was lower than that in the control group(4.11±0.78)points,and the difference was statistically significant(P<0.05).In the observation group,the scores of subjective symptoms,clinical signs,daily life and total score assessed by the Japanese Orthopaedic Association were(7.11±0.96)points,(4.43±0.57)points,(11.65±1.64)points and(23.12±3.45)points,respectively,they were higher than the control group(5.56±0.83)points,(3.68±0.52)points,(9.11±1.35)points,(18.19±2.69)points,and the difference between groups was statistically significant(P<0.05);the scores of psychological,physical,social function and material life status of the observation group were(82.81±7.60)points,(83.86±6.77)points,(82.86±6.98)points and(84.79±7.35)points,respectively.It was higher than that of the control group(74.73±6.25)points,(75.73±6.26)points,(76.74±6.25)points and(73.76±6.28)points,and the dif-ferences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.26%,low-er than 21.05%in the control group,the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group was 94.74%,higher than 76.32%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Phased re-habilitation nursing can promote the recovery of lumbar and back function of vertebroplasty patients with spinal stress fracture,reduce pain,and improve the quality of life.At the same time,it can also reduce the risk of postoperative complications,improve the prognosis,and improve patient satisfaction.
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