专科护士主导的延续护理对多发伤腰椎骨折术后患者的影响

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国家科技期刊平台
NETL
NSTL
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中文摘要：目的:探讨专科护士主导的延续护理对多发伤腰椎骨折术后患者的影响。方法:选取 2020 年 1月-2023年1 月天津市第四中心医院收治的 84 例多发伤腰椎骨折术后患者为研究对象，采用随机数字表法将患者分为专科组与对照组各 42 例。对照组给予常规护理，专科组在对照组护理的基础上给予专科护士主导的延续护理。比较 2 组患者疼痛视觉模拟(VAS)评分、Oswestry指数(ODI)评分、治疗效果、简化症状自评量表(SCL-90)评分、并发症总发生率。结果:护理 4 周后，2 组VAS评分均低于护理前，且专科组VAS评分低于对照组，差异有统计学意义(P＜0。05)。护理 4 周后，2 组ODI评分均低于护理前，且专科组ODI评分低于对照组，差异有统计学意义(P＜0。05)。护理 4 周后，专科组的疗效优良率高于对照组，差异有统计学意义(P＜0。05)。护理4 周后，专科组SCL-90 评分中躯体化、强迫、人际关系敏感、敌对、恐怖、偏执评分均低于对照组，差异有统计学意义(P＜0。05)。专科组护理期间的并发症总发生率低于对照组，差异有统计学意义(P＜0。05)。结论:给予多发伤腰椎骨折术后患者专科护士主导的延续护理能够有效缓解患者疼痛，改善患者的腰椎功能，降低并发症发生率，提高患者的生活质量，从整体上改善患者的预后。

外文标题：The Impact of Specialized Nurse-Led Continuity Nursing on Patients with Multiple Lumbar Vertebral Fractures After Surgery

外文摘要：Objective:To investigate the impact of specialized nurse-led continuity nursing on patients with multiple lumbar vertebral fractures after surgery.Methods:84 patients with multiple lumbar vertebral fractures after surgery admitted to Tianjin fourth central hospital from January 2020 to January 2023 were selected as the study objects.Using a random number table method,patients were divided into a specialized group and a control group,with 42 patients in each group.The control group received routine nursing,while the specialized group received specialized nurse-led continuity nursing in addition to routine nursing.Comparison was made between the two groups in terms of pain Visual Analog Scale(VAS)scores,Oswestry Disability Index(ODI)scores,treatment outcomes,Symptom Checklist-90(SCL-90)scores,and overall complication rates.Results:After 4 weeks of nursing,both groups showed lower VAS scores compared to before nursing,and the specialized group had significantly lower VAS scores than the control group(P＜0.05).After 4 weeks of nursing,both groups had lower ODI scores compared to before nursing,and the specialized group had significantly lower ODI scores than the control group(P＜0.05).After 4 weeks of nursing,the specialized group had a higher rate of excellent treatment outcomes than the control group,with a statistically significant difference(P＜0.05).After 4 weeks of nursing,the specialized group had lower SCL-90 scores in somatization,obsession,interpersonal sensitivity,hostility,phobia,and paranoia compared to the control group,with statistically significant differences(P＜0.05).The overall complication rate during the nursing period in the specialized group was lower than that in the control group,with a statistically significant difference(P＜0.05).Conclusion:Providing specialized nurse-led continuity nursing to patients with multiple lumbar vertebral fractures after surgery can effectively alleviate pain,improve lumbar spine function,reduce the incidence of complications,enhance patients'quality of life,and overall improve prognosis.

外文关键词：

Multiple lumbar vertebral fracturesContinuity nursingSpecialized nursePainLumbar spine functionComplica-tionsQuality of life

作者：

杨静

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作者单位：

天津市第四中心医院ICU,天津 300140

关键词：

多发伤腰椎骨折延续护理专科护士疼痛腰椎功能并发症生活质量

出版年：

2024

DOI：