首页|预防护理联合细节护理在胸腰段椎管内占位患者中的应用观察

预防护理联合细节护理在胸腰段椎管内占位患者中的应用观察

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目的:探究预防护理联合细节护理在胸腰段椎管内占位患者中的应用价值。方法:选择 2019年 9 月-2022 年 9 月于我院被确诊为胸腰段椎管内占位的81例患者为研究对象,按照随机数字表法将其分为研究组(n=41)与对照组(n=40)。对照组采用细节护理,研究组在对照组基础上联合预防护理。对比2组患者护理前后疼痛度、McCormick分级、生活质量评分及不良情绪差异。结果:护理前,2 组疼痛视觉模拟(VAS)评分、McCormick分级、生活质量评分及积极消极情绪量表(PANAS)积极与消极评分比较,组间差异无统计学意义(P>0。05)。护理后 3、7d,研究组的VAS评分分别为(2。16±0。32)分、(1。68±0。21)分,均低于对照组的(3。11±0。29)分、(2。69±0。20)分,组间差异有统计学意义(P<0。05)。护理后1个月,研究组McCormick分级中I级占比为87。80%,高于对照组的62。50%,差异有统计学意义(P<0。05)。护理后,研究组生活质量各个维度得分均高于对照组,组间差异有统计学意义(P<0。05);研究组PANAS中的积极情绪得分高于对照组,消极情绪得分低于对照组,组间差异有统计学意义(P<0。05)。结论:预防护理联合细节护理对胸腰段椎管内占位患者具有较好的干预价值,有助于改善患者疼痛度,提高患者McCormick分级中I级占比和生活质量,可以提高患者积极情绪,降低患者消极情绪。
Observation on the Application of Preventive Nursing Combined with Detailed Nursing in Patients with Thoracolumbar Spinal Canal Occupation
Objective:To explore the application value of preventive nursing combined with detailed nursing in patients with thoracolumbar spinal canal occupation.Methods:81 patients diagnosed with thoracolumbar spinal canal occupation in our hospital from September 2019 to September 2022 were selected as the research subjects.They were divided into a study group(n=41)and a control group(n=40)according to random number table method.The control group received detailed nursing,and the study group combined preventive nursing based on the control group.The differences in pain intensity,McCormick classification,quality of life scores,and adverse emotions before and after nursing were compared between the two groups.Results:Before nursing,there were no significant differences between the two groups in pain Visual Analogue Scale(VAS),McCormick scale,quality of life score and positive and negative scores on the Positive and Negative Emotion Scale(PANAS)(P>0.05).After 3,7 d of nursing,VAS scores of the study group were(2.16±0.32)points and(1.68±0.21)points,respectively,which were lower than(3.11±0.29)points and(2.69±0.20)points of the control group,the differences were statistically significant(P<0.05).1 month after nursing,the proportion of grade I in the McCormick grade in the study group was 87.80%,which was higher than 62.50%in the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of all dimensions of quality of life in the study group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05);the positive emotion score of the study group was higher than that of the control group,and the negative emotion score was lower than that of the control group in the PANAS,the differences between the groups were statistically significant(P<0.05).Conclusion:Preventive nursing combined with detailed nursing has a good intervention value for patients with thoracolumbar spinal canal occupation,helping to improve pain intensity,increase the proportion of patients with McCormick classification I,and improve quality of life.It can also promote positive emotions and reduce negative emotions in patients.

Preventive nursingDetailed nursingThoracolumbar spinal canal occupationPain intensityQuality of life

杨丽娜

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内蒙古自治区人民医院脊柱外科,内蒙古 呼和浩特 010010

胸腰段椎管内占位 预防护理 细节护理 疼痛度 生活质量

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(6)