Targeted nursing in perioperative period of pedicle screw fixation of ankylosing spondylitis spinal fractures
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[目的]评价强直性脊柱炎(ankylosing spondylitis,AS)脊柱骨折患者围手术期的特殊护理的效果.[方法]2020年1月—2023年7月,40例AS脊柱骨折患者行后路长节段椎弓钉-棒系统固定,围术期对患者实行针对性护理措施,对比入院时与出院时患者负面情绪评分及生活质量评分.[结果]40例患者均顺利手术,无严重并发症.与入院时相比,出院时患者的抑郁自评分(self-rating depression scale,SDS)[(60.2±5.7),(48.2±4.1),P＜0.001]和焦虑自评分(self-rating anxiety scale,SAS)[(58.1±5.8),(48.7±3.1),P＜0.001]均显著下降,而生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)的躯体功能[(60.1±6.2),(85.2±8.1),P＜0.001]、心理功能[(62.8±7.2),(88.3±9.2),P＜0.001],社会功能[(61.5±8.1),(90.6±8.2),P＜0.001]和物质生活状态[(65.2±7.7),(88.3±8.2),P＜0.001]均显著增加.[结论]对AS脊柱骨折行手术固定,并在围术期实施特殊的护理干预措施有助于缓解其负面情绪,改善生活质量.
[Objective]To evaluate the outcomes of the targeted nursing in perioperative period of pedicle screw fixation of ankylosing spondylitis(AS)spinal fractures.[Methods]From January 2020 to July 2023,40 patients underwent posterior long-segment pedicle screw-rod system fixation for AS spinal fractures,with targeted nursing measures implemented in the perioperative period.The negative emotion scores and quality of life scores were compared between the admission and discharge.[Results]All the 40 patients were successfully operat-ed without serious complications.Compared with those at admission,the self-rating depression scale(SDS)[(60.2±5.7),(48.2±4.1),P＜0.001]and self-rating anxiety scale(SAS)[(58.1±5.8),(48.7±3.1),P＜0.001]significantly decreased,while the generic quality of life invento-ry-74,GQOLI-74,including physical function[(60.1±6.2),(85.2±8.1),P＜0.001],the psychological function[(62.8±7.2),(88.3±9.2),P＜0.001],the social function[(61.5±8.1),(90.6±8.2),P＜0.001]and material life state[(65.2±7.7),(88.3±8.2),P＜0.001]significantly increased at discharge.[Conclusion]Surgical fixation of spinal fracture of AS with special nursing intervention in perioperative period can alleviate negative emotions and improve quality of life.
NETL
NSTL
万方数据
