拓展型舒适护理在骨关节结核术后患者中的应用效果  

Application effects of extended comfort nursing in patients with osteoarticular tuberculosis after surgery

作　　者：孔令楠 KONG Lingnan(Jiamusi Tuberculosis Hospital,Jiamusi Cancer Hospital,Jiamusi 154007 Heilongjiang,China)

机构地区：[1]佳木斯市结核病医院佳木斯市肿瘤医院,黑龙江佳木斯154007

出　　处：《中国民康医学》2023年第20期173-175,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察拓展型舒适护理在骨关节结核术后患者中的应用效果。方法:选取2019年9月至2021年9月该院收治的70例骨关节结核术后患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各35例。对照组采用常规护理,研究组在对照组基础上联合拓展型舒适护理,比较两组护理前后乐观-悲观[乐观主义-悲观主义量表(OPS)]评分、生命质量[健康生活简表(SF-36)]评分、术后3个月内并发症发生率和护理满意度。结果:护理后,研究组乐观评分高于对照组,悲观评分低于对照组,差异均有统计学意义(P<0.05);研究组生理机能、生理职能、一般健康状况、精力、精神健康、情感职能、社会功能和躯体疼痛等SF-36评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为8.57%,低于对照组的28.57%,差异有统计学意义(P<0.05);研究组护理满意度为94.29%,高于对照组的71.43%,差异有统计学意义(P<0.05)。结论:在常规护理基础上联合拓展型舒适护理可提高骨关节结核术后患者生命质量评分和护理满意度,改善乐观-悲观评分,效果优于单纯常规护理。Objective:To observe application effects of extended comfort nursing in patients with osteoarticular tuberculosis after surgery.Methods:A prospective study was conducted on 70 patients with osteoarticular tuberculosis admitted to the hospital from September 2019 to September 2021.They were divided into control group and study group according to the random number table method,35 cases in each group.The control group was treated with routine nursing,while the study group was combined with extended comfort nursing on the basis of that of the control group.The optimism-pessimism[optimism-pessimism scale(OPS)]score and the quality of life[short form healthy survey(SF-36)]score before and after the nursing,the incidence of complications within 3 months after the surgery,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the optimism score of the study group was higher than that of the control group,the pessimism score was lower than that of the control group,and the differences were statistically significant(P<0.05).The SF-36 scores of physiological function,physiological role,general health status,vitality,mental health,emotional function,social function and physical pain in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 8.57%,which was lower than 28.57%in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 94.29%,which was higher than 71.43%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the extended comfort nursing can improve the quality of life scores and the nursing satisfaction of the patients with osteoarticular tuberculosis after the surgery,and improve the optimistic-pessimistic scores.Moreover,it is superior to single routine nursing.

关 键 词：骨关节结核 拓展型舒适护理 生命质量 满意度 乐观-悲观 

分 类 号：R473.6[医药卫生—护理学]