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目的探讨渐进式康复护理对脊柱肿瘤患者术后生存状况及心理状态的影响。方法选取2012年1月至2015年12月间十堰市人民医院收治的90例脊柱肿瘤患者,采用随机数表法分为观察组与对照组,每组45例。患者均行前后联合入路脊柱肿瘤切除术,术后观察组患者采用渐进式康复护理,对照组患者采用常规护理。分别于干预后1d、3d、5d和7d对两组患者采用视觉模拟评分法(VAS)进行疼痛评价,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的焦虑和抑郁状态进行评价,并在干预前、干预后10d、1个月、3个月、6个月及9个月采用健康相关生命质量量表(HRQOL)对患者生存质量进行评价。结果观察组患者干预后1d和3d VAS评分均明显优于对照组,差异均有统计学意义(均P<0.05)。观察组患者干预后1d、3d和5d SAS及SDS评分均明显优于对照组,差异均有统计学意义(均P<0.05)。观察组患者干预后10d、1个月、3个月后及6个月后HRQOL评分均明显优于对照组,差异均有统计学意义(均P<0.05)。观察组患者生理指标、心理社会指标、性功能指标及医务人员关系指标均优于对照组患者,差异均有统计学意义(均P<0.05),观察组患者护理满意度为95.6%,高于对照组患者的82.2%,差异有统计学意义(P<0.05)。结论采用渐进式康复护理脊柱肿瘤术后患者,可有效改善患者焦虑和抑郁状态,提高生命质量及预后。
Objective To investigate the effect of progressive rehabilitation nursing on postoperative survival status and psychological status of patients with spinal tumors. Methods Ninety patients with spinal tumors admitted from January 2012 to December 2015 in Shiyan People’s Hospital were randomly divided into observation group and control group with 45 cases in each group. All patients underwent combined spinal and spinal resection before and after the operation. Patients in the postoperative observation group were treated with progressive rehabilitation and patients in the control group received routine nursing. The visual analog scale (VAS) was used to assess the pain in the two groups on the 1st, 3rd, 5th, 7th day after the intervention. The anxiety and the anxiety of the patients were assessed by SAS and SDS. The quality of life was evaluated by HRQOL before intervention, 10 days, 1 month, 3 months, 6 months and 9 months after intervention. Results The scores of VAS on the 1st day and the 3rd day after intervention in the observation group were significantly better than those in the control group (all P <0.05). SAS and SDS scores of observation group were significantly better than those of control group on the 1st, 3rd and 5th day after intervention (all P <0.05). The HRQOL scores of the observation group at 10 days, 1 month, 3 months and 6 months after intervention were significantly better than those in the control group (all P <0.05). The observation group’s physiological index, psychosocial index, sexual function index and medical staff’s relation index are all superior to those of the control group, the differences were statistically significant (all P <0.05), the satisfaction rate of the nursing group was 95.6% 82.2% of the control group patients, the difference was statistically significant (P <0.05). Conclusion The progressive rehabilitation of patients with spinal tumors after care, can effectively improve the anxiety and depression in patients with conditions to improve the quality of life and prognosis.