快速康复护理在老年椎体压缩性骨折中的应用  

Application of Rapid Rehabilitation Nursing in Elderly Patients With Vertebral Compression Fracture

作　　者：夏艳丽 郭芳琴 XIA Yanli;GUO Fangqin(Department of Orthopaedics,Jingzhou Traditional Chinese Medicine Hospital,Jingzhou Hubei 434000,China)

机构地区：[1]湖北省荆州市中医医院骨科,湖北荆州434000

出　　处：《中国继续医学教育》2021年第26期185-188,共4页China Continuing Medical Education

摘　　要：目的探讨骨质疏松性椎体压缩性骨折老年患者在术后快速康复理念指导下治疗的有效性。方法此次研究对象是本院2019年5月—2020年6月收治的90例骨质疏松性椎体压缩性骨折老年患者,用数字表法分组,各45例,观察组与对照组分别采取快速康复理念指导与常规护理,对比两组临床效果。结果观察组住院时间、首次下床时间均短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05);观察组护理满意度与对照组比较,分别95.56%和80.00%,组间对比,观察组更高(P<0.05);护理前,组间疼痛评分对比,差异不明显(P>0.05);经护理后,观察组比对照组疼痛评分更低,差异有统计学意义(P<0.05)。结论骨质疏松性椎体压缩性骨折老年患者在术后快速康复理念指导下治疗,能够缓解患者疼痛感,缩短患者住院时间,提升患者护理满意度,保证预后效果。Objective To explore the effectiveness of the treatment of osteoporotic vertebral compression fracture in elderly patients under the guidance of the concept of rapid postoperative rehabilitation.Methods 90 elderly patients with osteoporotic vertebral compression fracture who were admitted to our hospital from May 2019 to June 2020 were divided into four groups by the method of digital table,45 cases in each group.The observation group and the control group were respectively guided by the concept of rapid rehabilitation and routine nursing,and the clinical effects of the two groups were compared.Results The hospitalization time and the first time out of bed in the observation group were shorter than those in the control group,and the hospitalization cost was lower than that in the control group(P<0.05);the nursing satisfaction of the observation group was 95.56%and 80.00%respectively compared with the control group.The observation group was higher than the control group(P<0.05);before nursing,there was no significant difference in pain scores between groups(P>0.05);After nursing,the pain score of the observation group was lower than that of the control group(P<0.05).Conclusion Under the guidance of the concept of rapid postoperative rehabilitation,the elderly patients with osteoporotic vertebral compression fracture can relieve their pain,shorten their hospitalization time,improve their nursing satisfaction,and ensure the prognosis effect.

关 键 词：骨质疏松 椎体压缩性骨折 快速康复理念 满意度 术后指导 有效性 

分 类 号：R681[医药卫生—骨科学]