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目的探讨综合护理干预对椎体肿瘤经皮椎体后凸成形术(PKP)手术患者情绪及生活质量的影响。方法选取2014年3月至2016年1月间四川省成都市第一人民医院收治的行PKP手术的53例椎体肿瘤患者,采用随机数表法分为观察组与对照组,观察组27例,对照组26例。观察组患者采用综合护理干预,对照组患者采用常规护理。观察比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)和视觉模拟评分(VAS)得分、不良反应、并发证情况及生活质量情况。结果护理前两组患者SAS、SDS和VAS得分比较,差异无统计学意义(P>0.05),护理后观察组患者SAS得分为(38.51±2.17)分,SDS为(40.31±4.67)分,VAS为(2.14±0.35)分,均明显低于对照组患者的(52.77±3.90)分、(53.56±6.71)分和(3.67±0.91)分,差异均有统计学意义(均P<0.05)。观察组患者总并发证发生率为3.7%,明显低于对照组患者的19.2%,差异有统计学意义(P<0.05)。观察组患者总体健康状况得分为(90.12±4.01)分,明显高于对照组患者的(80.51±0.69)分,差异有统计学意义(P<0.05)。结论综合护理干预能缓解椎体肿瘤PKP手术患者负性情绪,提高生活质量。
Objective To investigate the effect of comprehensive nursing intervention on mood and quality of life of patients with vertebral body tumor after percutaneous kyphoplasty (PKP). Methods From March 2014 to January 2016, 53 patients with vertebral body tumors treated by PKP in Chengdu First People’s Hospital of Sichuan Province were divided into observation group and control group by random number table. The observation group included 27 cases , Control group of 26 cases. Patients in observation group were treated with comprehensive nursing intervention and patients in control group were treated with routine nursing care. The anxiety self-rating scale (SAS), self-rating depression scale (SDS) and visual analogue scale (VAS) scores, adverse reactions, concurrent card-issuing and quality of life were observed and compared between the two groups. Results There was no significant difference in SAS, SDS and VAS score between the two groups before nursing (P> 0.05). After nursing, SAS score was (38.51 ± 2.17) and SDS was (40.31 ± 4.67), VAS (2.14 ± 0.35) points were significantly lower than those in the control group (52.77 ± 3.90), (53.56 ± 6.71) and (3.67 ± 0.91) points, respectively, with statistical significance (all P <0.05). In the observation group, the incidence of total concurrent card issuance was 3.7%, which was significantly lower than that of the control group (19.2%, P <0.05). The overall health score of the observation group was (90.12 ± 4.01) points, which was significantly higher than that of the control group (80.51 ± 0.69) points, the difference was statistically significant (P <0.05). Conclusion Comprehensive nursing intervention can relieve the negative emotions and improve the quality of life in PKP patients with vertebral tumors.