胸腰椎骨折内固定术后患者早期康复护理与常规性护理的对照研究

doi:10.3969/j.issn.1000-8535.2017.04.024

广州医药 ›› 2017, Vol. 48 ›› Issue (4): 96-99.DOI: 10.3969/j.issn.1000-8535.2017.04.024

胸腰椎骨折内固定术后患者早期康复护理与常规性护理的对照研究

陈钱¹, 赵金灿², 李慧¹, 李燕¹, 何春红¹

1 广州市正骨医院(广州 510045)
2 汕头市第二人民医院(汕头 515041)

收稿日期:2017-04-08 发布日期:2021-12-01
基金资助:
广州市越秀区科技和信息化局科研项目(2014-WS-037)

Comparative study of early rehabilitation nursing and routine nursing care for patients with thoracolumbar bursting fracture after internal fixation

CHEN Qian¹, ZHAO Jingcan², LI Hui¹, LI Yan¹, HE Chunhong¹

1 Guangzhou Orthopedics Hospital, Guangzhou 510045, China
2 The Second People's Hospital of Shantou, Shantou 515041, China

Received:2017-04-08 Published:2021-12-01

摘要/Abstract

摘要： 目的探讨早期康复护理干预对胸腰椎骨折内固定术后患者的临床护理效果。方法 2014年6月—2016年12月,将94例胸腰椎骨折内固定术后患者按数字随机法,分为实验组51例和对照组43例,分别实进行早期康复护理和常规性护理。比较两组患者胸腰背部功能状况、胸腰背部疼痛情况、术后抑郁水平,以及护理满意度等相关指标,以评价早期康复护理的效果。结果 94例患者均获得3个月随访。与对照组比较,实验组患者平均住院天数减少4.1 d,差异有统计学意义(P<0.05);平均住院费用也有所下降;实验组和对照组总并发症发生率分别为7.84%和20.9%,两组间比较差异有统计学意义;实验组的护理工作满意度高达90.20%,高于对照组的67.44%,差异具有统计学意义(P<0.05)。术后3个月随访时,Oswestry功能障碍评分实验组为(14.74±3.25),低于对照组的(20.04±5.32)(P<0.05); SDS评分实验组的为42.35±3.68,低于对照组的(47.28±3.49)(P<0.05);胸腰背痛VAS评分实验组的为(1.07±0.67),低于对照组的(2.62±1.86)(P<0.05)。结论早期康复护理干预是促进胸腰椎骨折内固定术后患者快速康复的有效方法,提高患者对护理工作的满意度,值得推广应用。

关键词: 快速康复外科, 胸腰椎, 骨折, 护理, 满意度

Abstract: Objective To evaluate and compare the outcomes of early rehabilitation nursing and routine nursing care for patients with thoracolumbar bursting fracture after internal fixation. Methods From June 2014 to December 2016, this study enrolled ninety-four subjects who were randomly divided into observe group with fifty-one cases and control group with forty-three cases according to the digital random method. Patients in the control group were treated with routine nursing care, and early rehabilitation nursing care were used in the observe group. The physical function of thoracolumbar spine, psychological condition, pain of thoracolumbar spine, nursing satisfaction and soon. were compared between the two groups. Results The average days of hospital stay in the observation group was 4.10 days, it was less than that of control group, and the difference was statistically significant(P<0.05). Average hospital costs were also declined. The total complication rate were 7.84% in observe group and 20.9% in control group, there was significant difference between the two groups (P<0.05). The nursing satisfaction was 90.20% in observe group, which was higher than 67.44% in that in control group (P<0.05). When follow-up three months after operation, the ODI score in experiment group was(14.74±3.25), which was lower than that (20.04±5.32)in control group (P<0.05). The SDS score in experiment group was (42.35±3.68), which was lower than that (47.28±3.49)in control group(P<0.05). And the VAS score in experiment group was (1.07±0.67), which was lower than that(2.62 ±1.86)in control group (P<0.05). Conclusion Early rehabilitation nursing care is effective to the rapid functional recovery for patients with thoracolumbar bursting fracture after internal fixation, and improves the nursing satisfaction.

Key words: Fast track surgery, Thoracolumbar, Fracture, Nursing, Satisfaction

陈钱, 赵金灿, 李慧, 李燕, 何春红. 胸腰椎骨折内固定术后患者早期康复护理与常规性护理的对照研究[J]. 广州医药, 2017, 48(4): 96-99.

CHEN Qian, ZHAO Jingcan, LI Hui, LI Yan, HE Chunhong. Comparative study of early rehabilitation nursing and routine nursing care for patients with thoracolumbar bursting fracture after internal fixation[J]. Guangzhou Medical Journal, 2017, 48(4): 96-99.

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胸腰椎骨折内固定术后患者早期康复护理与常规性护理的对照研究

Comparative study of early rehabilitation nursing and routine nursing care for patients with thoracolumbar bursting fracture after internal fixation

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