全程优质护理干预对脊柱骨折合并脊髓损伤手术患者干预效果及生活质量的影响  

Effect of quality nursing intervention on patients with spinal fracture complicated with spinal cord injury and quality of life

作　　者：张晶[1] 刘秀清[2] 张超[3] ZHANG Jing;LIU Xiuqing;ZHANG Chao(Department of Spinal Surgery,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Special Ward,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Operating Room,China-Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院脊柱外科,长春130033 [2]吉林大学中日联谊医院特需病房,长春130033 [3]吉林大学中日联谊医院手术室,长春130033

出　　处：《长春中医药大学学报》2020年第3期580-583,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省科学技术厅优秀青年人才基金项目(20190103077JH)。

摘　　要：目的探讨全程优质护理干预对脊柱骨折合并脊髓损伤手术患者干预效果及生活质量的影响。方法选取136例脊柱骨折合并脊髓损伤的手术治疗患者,根据随机抽签原则将受试者分为对照组和研究组,各68例。其中对照组接受传统的围术期护理,研究组在对照组的基础上接受全程优质护理干预,比较2组的干预效果及生活质量。结果干预后2组SAS与SDS评分均较干预前均明显降低,且研究组显著低于对照组(P<0.05);研究组术后VAS评分与住院时间显著少于对照组,康复情况及护理满意度评分显著高于对照组(P<0.05);研究组并发症发生率较对照组更低,2组比较差异性显著(P<0.05);干预后2组生活质量评分均明显提高,且研究组显著高于对照组(P<0.05)。结论全程优质护理干预有助于改善患者的负性情绪,减少术后并发症,促进患者术后康复,缩短住院时间,改善患者的生活质量,提高护理质量,在脊柱骨折合并脊髓损伤手术患者护理中具有较高的应用价值。Objective To explore the effect of whole-course high-quality nursing intervention on the intervention effect and quality of life of patients with spinal fracture complicated with spinal cord injury.Methods A total of 136 patients with spinal fracture combined with spinal cord injury and underwent surgical treatment were selected.According to the principle of random lottery,the subjects were divided into two groups:the control group and the study group,68 cases in each group.The control group received traditional perioperative nursing,and the study group received whole-course high-quality nursing intervention on the basis of the control group.The intervention effect and quality of life of the patients in the two groups were compared.Results After intervention,SAS and SDS scores in both groups were significantly decreased,and the study group was significantly lower than the control group(P<0.05);VAS scores and length of stay in the study group were significantly lower than those in the control group,and the scores of rehabilitation and nursing satisfaction were significantly higher than those in the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference between the two groups was significant(P<0.05).After intervention,quality of life scores of patients in both groups were significantly improved,and the study group was significantly higher than the control group(P<0.05).Conclusion Whole-process high-quality nursing intervention can improve patients’negative emotions,reduce postoperative complications,promote patients’postoperative rehabilitation,shorten the length of stay,improve patients’quality of life,improve the quality of care,and has a high application value in the nursing of patients with spinal fracture combined with spinal cord injury surgery.

关 键 词：全程优质护理干预 脊柱骨折 脊髓损伤 负性情绪 术后并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]