导尿管追踪护理联合集束化护理对脊柱手术患者的影响  

Effect of catheter tracing nursing combined with intensive care on spinal surgery patients

作　　者：谢晶晶[1] 刘洁[1] 周歆[1] 高颖[1] 赵颖 XIE Jingjing;LIU Jie;ZHOU Xin;GAO Ying;ZHAO Ying(Hubei Shiyan Taihe Hospital,Shiyan 442000,China)

机构地区：[1]湖北省十堰市太和医院骨科,湖北省十堰市442000

出　　处：《护理实践与研究》2025年第3期429-435,共7页Nursing Practice and Research

基　　金：湖北省十堰市太和医院课题项目(编号:2022JJXM130)。

摘　　要：目的研究导尿管追踪护理与集束化护理联合应用对脊柱手术患者心理状态、疼痛情况及围术期泌尿系统感染情况的影响。方法选取2020年4月—2022年10月医院97例行脊柱手术的脊柱骨折患者,根据组间基本特征具有可比性的原则分为对照组48例及观察组49例,对照组患者围术期行导管常规护理,观察组患者围术期基于导尿管追踪法对其实施集束化护理,比较两组患者的术后恢复情况、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、导尿管护理情况、并发症发生情况及满意程度。结果两组患者住院时间比较差异无统计学意义(P>0.05);观察组患者首次下床时间、正常进食时间及肛门排气时间短于对照组,VAS评分低于对照组,组间比较差异有统计学意义(P<0.05)。干预后,观察组患者SDS评分、SAS评分均低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者置管时间短于对照组,差异有统计学意义(P<0.05),观察组患者导尿管复插率低于对照组差异有统计学意义(P<0.05)。观察组患者并发症总发生率低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者满意程度高于对照组,差异有统计学意义(P<0.05)。结论在导尿管追踪护理基础上对脊柱手术患者实施集束化护理能有效促进患者术后恢复,减轻负性情绪,降低患者围术期术后并发症,提升患者护理满意度。Objective To study the effects of the com bined application of catheter tracing nursing and intensified nursing on the psychological state,pain condition and perioperative urinary tract infection of spinal surgery patients.Methods 97 spinal fracture patients who underwent spinal surgery in the hospital from April 2020 to October 2022 were selected,to divid into 48 cases in the control group and 49 cases in the observation group according to the principle of comparability of basic characteristics between the groups,and the perioperative catheter routine nursing was carried out in the control group,and the perioperative intensive nursing was carried out for the patients in the observation group based on the catheter-tracking method,the postoperative recovery,depression,pain and urinary infection of the patients in both groups were compared.The postoperative recovery,Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)scores,catheter care situation,complications and satisfaction level of the two groups were compared.Results There was no statistically significant difference in the hospitalisation time between the two groups(P>0.05),the time for patients in the observation group to get out of bed for the first time,the time for patients to be able to eat normally,and the time for patients to have anal defecation was shorter than that of the control group,and the VAS scores were lower than that of the control group,the difference between the groups was statistically significant(P<0.05).After the intervention,the SDS score and SAS score of patients in the observation group were lower than those of the control group,and the difference between the groups was statistically significant(P<0.05).The catheter placement time of patients in the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The in catheter re-insertion rate of the observation growp was lower than the control group,the difference was statistically significant(P<0.05).The total comp

关 键 词：导尿管追踪护理 集束化护理 脊柱手术 不良情绪 术后恢复 

分 类 号：R473.74[医药卫生—护理学]