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目的探讨系统护理干预对转移性脊柱肿瘤患者手术切除治疗后压疮和焦虑抑郁情绪的影响。方法选取2014年1月至2016年4月间西南医科大学附属医院收治行手术切除治疗的120例转移性脊柱肿瘤患者,采用随机数表法分为观察组与对照组,每组60例。观察组患者在压疮常规护理的基础上予以系统干预护理,对照组患者予以压疮常规护理。比较两组患者护理干预前后焦虑与抑郁改善情况及压疮发生情况。结果干预前,两组患者焦虑和抑郁评分比较,差异均无统计学意义(均P>0.05)。干预后,两组患者焦虑和抑郁情况均有好转,且观察组患者好转情况明显优于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组患者压疮发生率为3.3%,明显少于对照组的23.3%,差异有统计学意义(P<0.05)。结论系统护理干预能改善转移性脊柱肿瘤患者手术切除后的抑郁和焦虑情况,降低压疮发生率,提高生活质量。
Objective To investigate the effect of systematic nursing intervention on pressure ulcers and anxiety and depression in patients with metastatic spinal tumors after surgical resection. Methods From January 2014 to April 2016, 120 patients with metastatic spinal tumors underwent surgical resection in the Affiliated Hospital of Southwest Medical University. Patients were divided into observation group and control group with 60 cases in each group. Patients in the observation group were treated with systematic intervention on the basis of routine pressure ulcer care, while those in the control group were given routine pressure ulcer care. Anxiety and depression were compared between the two groups before and after nursing intervention and the occurrence of pressure ulcer. Results Before intervention, there was no significant difference between the two groups in anxiety and depression scores (all P> 0.05). After intervention, anxiety and depression in both groups improved, and the improvement in observation group was significantly better than that in control group (all P <0.05). After the intervention, the incidence of pressure ulcer in the observation group was 3.3%, which was significantly lower than that in the control group (23.3%), the difference was statistically significant (P <0.05). Conclusion Systemic nursing intervention can improve the depression and anxiety of patients with metastatic spinal tumors after surgical resection, reduce the incidence of pressure ulcers and improve the quality of life.