综合护理结合颈椎保健干预对颈椎手术患者心理状况及并发症的影响分析  

Analysis of the effect of comprehensive nursing combined with cervical spine health care intervention on the psychological status and complications of cervical spine surgery patients

作　　者：霍明娜[1] 尚静波[1] 李仁波[1] Huo Mingna;Shang Jingbo;Li Renbo(Surgical Trauma of the CRISTA,Dalian Third People's Hospital,Dalian 116033,China)

机构地区：[1]大连市第三人民医院脊柱创伤外科,116033

出　　处：《中国实用护理杂志》2021年第4期263-267,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨综合护理结合颈椎保健对颈椎手术患者术后心理状况的改善作用及各种并发症的预防效果。方法选择2018年6月至2020年2月在大连市第三人民医院行颈椎手术后的102例患者作为研究对象,将患者进行简单随机化分组,分为对照组和试验组,每组各51例,对照组给予常规护理,试验组给予综合护理结合颈椎保健干预,观察2组患者的心理状态、术后并发症发生率以及患者对护理工作的满意度。结果经过综合护理结合颈椎保健干预后,对照组焦虑自评量表评分为(50.14±3.51)分、试验组为(30.27±1.12)分,2组比较差异有统计学意义(t值为24.134,P<0.05);对照组抑郁自评量表评分为(50.45±1.11)分、试验组为(39.45±2.21)分,2组比较差异有统计学意义(t值为20.293,P<0.05)。对照组术后并发症发生率为27.45%(14/51),试验组为9.80%(5/51),2组比较差异有统计学意义(χ^2值为10.409,P<0.05);试验组患者对护理人员的护理态度(91.11±5.32)分、护理质量(90.41±2.30)分、护理责任心(92.82±4.69)分,均明显高于对照组的(80.67±3.51)、(80.21±4.43)、(80.78±4.82)分,差异有统计学意义(t值为9.151、14.671、16.124,P<0.05)。结论采用综合护理结合颈椎保健干预能够改善颈椎术后患者的心理状态,降低患者术后并发症的发生率,提升患者对护理工作的满意度,值得在临床上进一步应用和推广。Objective To study the effect of comprehensive nursing combined with cervical spine health care on postoperative psychological status and the prevention of various complications of patients with cervical spine surgery.Methods A total of 102 patients who underwent cervical spine surgery in Dalian Third People's Hospital from June 2018 to February 2020 were selected as the research objects.The patients were randomly divided into a control group and an experimental group.The control group was given routine care,and the experimental group was given comprehensive care combined with cervical spine for health care intervention,the main observation indicators included the mental state of the two groups of patients,the incidence of postoperative complications,and the patients'satisfaction with nursing work.Results After comprehensive nursing combined with cervical health care intervention,the SAS score of the control group was 50.14±3.51 and the SAS score of the experimental group was 30.27±1.12.The SAS score of the control group was significantly higher than that of the experimentalgroup(t value was 24.134,P<0.05);the SDS score of the control group was 50.45±1.11,the SDS score of the experimental group was 39.45±2.21,the SDS score of the control group was significantly higher than that of the experimental group(t value was 20.293,P<0.05),the difference was statistical significance:Compared with the control group(27.45%,14/51),the incidence of postoperative complications(9.80%,5/51)in the experimental group was significantly reduced(χ^2 value was 10.409,P<0.05);the nursing attitude of the patients to nursing staff(91.11±5.32),nursing quality(90.41±2.30),nursing responsibility(92.82±4.69)in the experimental group were all significantly higher than those of the control group(80.67±3.51,80.21±4.43,80.78±4.82),the difference was statistically significant(t value was 9.151,14.671,16.124,P<0.05).Conclusion Rehabilitation nursing intervention of comprehensive nursing combined with cervical spine health care can improv

关 键 词：综合护理 颈椎手术 术后并发症 

分 类 号：R473.6[医药卫生—护理学]