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目的探究舒适护理对老年腰椎压缩性骨折术后患者疼痛的影响。方法选取我院2014年1月~2016年1月来我院就诊的68例老年腰椎压缩性骨折患者为研究对象,根据随机数字表法分为对照组和观察组,每组34例。对照组给予常规护理,观察组则给予舒适护理,采用视觉模拟评分法(VAS)对患者术后疼痛情况进行评分,并由患者自行评定护理满意度。采用ZUNG自评抑郁量表(SDS评分),自动思维问卷(ATQ)对患者的抑郁和负性认知情况进行调查,并记录和统计两组患者的并发症发生情况。结果观察组患者疼痛评分和并发症发生比例明显低于对照组,满意评分则高于对照组,差异具有统计学意义(P<0.05)。两组患者经过护理干预前,负性认知和SDS评分没有差异,而经过舒适护理干预的观察组患者负性认知和SDS评分均得到显著降低,且明显低于同期的对照组,差异具有统计学意义(P<0.05)。结论舒适护理可以降低老年腰椎压缩性骨折术后患者的疼痛程度,提高满意度,且可以降低负性认知和SDS评分,效果明显,值得在临床推广应用。
Objective To investigate the effect of comfortable nursing on postoperative patients with postoperative lumbar compression fractures. Methods Sixty-eight elderly patients with lumbar vertebral compression fracture treated in our hospital from January 2014 to January 2016 were selected and divided into control group and observation group according to random number table method, with 34 cases in each group. The control group was given routine care while the observation group was given comfortable nursing. The visual analog scale (VAS) was used to score the postoperative pain and the patient self-assessment of nursing satisfaction. The ZUNG Self-Rating Depression Scale (SDS) and Automated Questionnaire (ATQ) were used to investigate the patients’ depression and negative cognition, and the complications of both groups were recorded and statistically analyzed. Results The pain scores and complication rates in the observation group were significantly lower than those in the control group, while the satisfaction scores were higher in the observation group than in the control group (P <0.05). Before nursing intervention, there was no difference between negative cognition and SDS scores in the two groups, but negative cognition and SDS scores in the observation group after comfortable nursing intervention were significantly decreased, and were significantly lower than the control group in the same period Statistical significance (P <0.05). Conclusions Comfortable nursing can reduce the degree of pain and improve the degree of satisfaction of elderly patients with postoperative lumbar compression fractures, and can reduce the negative cognition and SDS score, the effect is obvious and worthy of clinical application.