规范化护理方案对脊柱骨折伴脊髓损伤患者术中压力性损伤的预防效果  

Preventive effect of standardized nursing plan on intraoperative pressure injury in patients with spinal fracture and spinal cord injury

作　　者：夏婷玉 刘利娅 王洁 XIA Tingyu;LIU Liya;WANG Jie(Jianhu People's Hospital,Yancheng,Jiangsu,224700,China)

机构地区：[1]江苏省建湖县人民医院,江苏盐城224700

出　　处：《中西医结合护理(中英文)》2025年第2期101-104,共4页Journal of Clinical Nursing in Practice

摘　　要：目的研究脊柱骨折伴脊髓损伤患者术中压力性损伤的规范化防治策略及应用效果。方法选择2021年2月至2023年3月于江苏省建湖县人民医院就诊的120例脊柱骨折伴脊髓损伤患者,根据随机数字表法分为2组,各60例。对照组实施常规护理,研究组在对照组的基础上联合规范化护理防治策略,比较2组的干预效果。结果研究组在术后3 d的压力性损伤发生率低于对照组,术后并发症总发生率也低于对照组(P均<0.05)。研究组在术后1个月的脊髓独立性评定量表Ⅲ评分、脊髓损伤神经学分类国际标准中运动功能和感觉功能评分均高于对照组,在术后3个月的简明健康状况量表各维度评分均高于对照组(P均<0.05);2组在上述时间点的各项评分均高于入院时(P均<0.05)。结论规范化护理方案能够降低脊柱骨折伴脊髓损伤患者的术中压力性损伤发生率和术后并发症发生率,改善脊髓功能、运动和感觉水平,提升生活质量。Objective To study the standardized prevention and treatment strategy of intraoperative pressure injury in patients with spinal fracture and spinal cord injury and its application effect.Methods A total of 120 patients with spinal fracture and spinal cord injury who received treatment at Jianhu People's Hospital from February 2021 to March 2023 were selected.The participants were divided into two groups by using a random number table:60 patients in the control group received routine nursing,and 60 patients in the study group additionally adopted a standardized nursing prevention and treatment strategy.The intervention effect of the two groups was compared.Results The incidence of pressure injury in the study group was lower than that in the control group at 3 days after surgery,and the total incidence of postoperative complications was also lower than that in the control group(P<0.05).The study group demonstrated higher scores in the Spinal Cord Independence MeasureⅢ,motor and sensory function of the American Spinal Injury Association at 1 month after surgery,as well as higher scores in the Short Form-36 Health Survey at 3 months after surgery in comparison with the control group(P<0.05).The scores of both groups at the above time points were higher than those at admission(P<0.05).Conclusion Standardized nursing plan can reduce the incidence of intraoperative pressure injury and postoperative complications in patients with spinal fracture and spinal cord injury,and improve the spinal cord function,motor and sensory levels,and quality of life.

关 键 词：脊柱骨折 脊髓损伤 规范化护理 压力性损伤 

分 类 号：R473.6[医药卫生—护理学]