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基于前瞻性心理弹性干预对脊柱骨折患者术后恢复效果的影响研究

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目的 探讨基于前瞻性的心理弹性干预对脊柱骨折患者手术后恢复效果的影响.方法 选择2022年6月—2023年3月本院脊柱骨折手术治疗患者60例为研究对象,并按随机数字表法分为对照组和观察组,每组30例.对照组采用常规方法干预,观察组联合基于前瞻性的心理弹性干预,两组均完成4d护理,比较两组简易智力状态检查量表(MMSE)、基础生活活动能力(BADL)量表、跌倒/坠床风险评估表、疼痛数字评定(NRS)及步行能力、满意度及并发症发生率.结果 观察组干预4d后NRS、跌倒/坠床风险评估表评分低于对照组(P<0.05);MMSE及BADL得分高于对照组(P<0.05);观察组干预4d后Holden分级及6min步行测试距离高于对照组(P<0.05);10m步行时间短于对照组(P<0.05);两组围术期脊髓损伤、肺部感染及便秘发生率无统计差异(P>0.05);观察组干预4d后服务态度、干预方法及干预内容满意度高于对照组(P<0.05).结论 基于前瞻性的心理弹性干预用于脊柱骨折患者中,能改善患者认知功能,提升患者生活活动能力,降低跌倒/坠床风险,有助于减轻患者疼痛,提高患者步行功能,亦可降低并发症发生率,可获得较高的满意度,值得推广应用.
Effect Research of Prospective Psychoelastic Intervention on Postoperative Recovery of Spinal Fracture Patients
Objective To explore effect of prospective psychoelastic interventions on postoperative recovery of patients with spinal fractures.Methods The paper chose 60 patients with spinal fractures with surgical treatment in our hospital from June 2022 to March 2023 as study subjects,and divided them into two groups randomly with number table method,with 30 cases in each group.Control group was treated with routine intervention,while observation group with combination of prospective psychoelastic intervention.After 4-day nursing for two groups,scores of Mini Mental State Examination(MMSE),Basic Activity of Life(BADL),Fall/Bed Fall Risk Assessment,Pain Number Scale(NRS),walking ability,satisfaction degree,and incidence of complications were compared between two groups.Results After 4 days of intervention,NRS and fall/fall risk assessment scores in observation group were lower than control group(P<0.05).Scores of MMSE and BADL were higher than control group(P<0.05).After 4 days of intervention,Holden grading and 6-minute walking test distance in observation group was higher than control group(P<0.05).Walking time of 10m was shorter than control group(P<0.05).There was no statistical difference in incidence of spinal cord injury,pulmonary infection,and constipation between two groups during perioperative period(P>0.05).After 4 days of intervention,satisfaction degree with service attitude,intervention methods,and intervention content in observation group was higher than control group(P<0.05).Conclusion Prospective psychoelastic intervention can improve cognitive function,enhance living activity,reduce risk of falls/falls,alleviate pains,improve walking function and reduce complications incidence of spinal fractures patients,which can achieve high satisfaction degree and is worthy of promotion and application.

ProspectivePsychoelastic interventionSpinal fracturesSurgical treatmentBasic living activity abilityRisk of falling/falling from bed

陈秋梅、张雪燕、林虹、陈晓琳、杨芳

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广东省农垦中心医院 骨科,广东 湛江 524002

前瞻性 心理弹性干预 脊柱骨折 手术治疗 基础生活活动能力 跌倒/坠床风险

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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