行为与心理护理在布氏菌病致脊椎脓肿病变患者中的应用效果  

Effect of Behavioral and Psychological Nursing in Patients with Spinal Abscess Caused byBrucellosis

作　　者：段美惠 DUAN Meihui(Department of infection 1,Tianjin second people's hospital,Tianjin 343200)

机构地区：[1]天津市第二人民医院感染一科,天津300110

出　　处：《中国伤残医学》2024年第3期133-136,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨行为与心理护理在布氏菌病致脊椎脓肿病变患者中的应用效果.方法:选择天津市第二人民医院2014年2月—2023年2月收治的86例布氏菌病致脊椎脓肿病变患者为研究对象,按随机数字表法将其分为对照组与观察组,各43例.所有患者均给予对症治疗,对照组采用常规护理,观察组在对照组基础上采用行为与心理护理,2组护理时间均为3个月.对比2组脊椎关节功能、椎体前缘高度、临床疗效、生活质量.结果:护理3个月后,观察组脊椎JOA评分高于对照组,差异有统计学意义(P<0.05).观察组椎体前缘高度高于对照组,差异有统计学意义(P<0.05).观察组治疗总有效率为97.70%,高于对照组的83.70%,差异有统计学意义(P<0.05).观察组生活质量的各个维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论:布氏菌病致脊椎脓肿病变患者采用行为与心理护理,可提高椎体前缘高度,改善患者脊椎功能,提高患者临床疗效,持续改善患者生活质量.Objective:To investigate the effect of behavioral and psychological nursing in patients with spinal abscess caused by brucellosis.Methods:A total of 86 patients with spinal abscess caused by brucellosis admitted to Tianjin Second People's Hospital from February 2014 to February 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.All patients were given symptomatic treatment,the control group received routine nursing,the observation group received behavioral and psychological nursing on the basis of the control group,and the nursing time of both groups was 3 months.The spinal joint function,vertebral anterior margin height,clinical efficacy and quality of life of the two groups were compared.Results:After 3 months of nursing,the spinal JOA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The vertebral anterior margin height of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 97.70%,higher than that of the control group(83.70%),and the difference was statistically significant(P<O.05).The quality of life scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion:The use of behavioral and psychological nursing for patients with spinal abscess caused by brucellosis can improve the height of vertebral front margin,improve the spinal function of patients,improve the clinical efficacy of patients,and continuously improve the quality of life of patients.

关 键 词：布氏菌病 脊椎脓肿病变 行为与心理护理 椎体前缘高度 

分 类 号：R687.3[医药卫生—骨科学]