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目的探究胸腰椎骨折内固定术后患者应用早期康复护理的临床效果。方法 100例行胸腰椎骨折内固定术患者随机分为实验组和对照组,各50例。对照组采用常规护理方法 ,实验组在对照组基础上采用早期康复护理。对比两组患者的护理满意度以及心理状态。结果护理后,实验组非常满意28例、满意20例、不满意2例,护理满意度为96%;对照组非常满意21例、满意16例、不满意13例,护理满意度为74%;实验组护理满意度明显高于对照组,差异具有统计学意义(P<0.05)。护理后,实验组焦虑自评量表(SAS)评分为(42.12±2.76)分、抑郁自评量表(SDS)评分为(42.17±2.56)分;对照组SAS评分为(49.62±3.26)分、SDS评分为(49.62±3.31)分;实验组SAS、SDS评分均明显优于对照组,差异具有统计学意义(P<0.05)。结论胸腰椎骨折内固定术后患者应用早期康复护理取得了显著效果,显著提升了护理满意度,改善了患者焦虑、抑郁的心理状态,值得进一步推广和使用。
Objective To investigate the clinical effect of early rehabilitation nursing in patients after thoracolumbar fracture internal fixation. Methods 100 cases of thoracolumbar fracture fixation were randomly divided into experimental group and control group, 50 cases each. The control group using conventional nursing methods, the experimental group in the control group on the basis of early rehabilitation care. Compare the two groups of patients satisfaction and psychological care status. Results After nursing, the experimental group was very satisfied with 28 cases, satisfied with 20 cases, unsatisfied with 2 cases and nursing satisfaction with 96%. The control group was very satisfied with 21 cases, satisfied with 16 cases, unsatisfied with 13 cases and nursing satisfaction was 74%. The nursing satisfaction of the experimental group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). After nursing, SAS score of the experimental group was (42.12 ± 2.76), depression score of SDS was (42.17 ± 2.56), control group score was (49.62 ± 3.26) , SDS score was (49.62 ± 3.31) points; SAS and SDS scores of the experimental group were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion The application of early rehabilitation nursing after thoracolumbar fracture fixation has significantly improved the nursing satisfaction, improved the psychological state of anxiety and depression, which is worth to be further popularized and used.