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李萍,王炜昌,吴婷容,王伟雄,巫燕丽.椎体成形术治疗骨质疏松性胸腰椎骨折的护理干预[J].中国医药科学,2020,(1):168-171        基金项目:广东省茂名市科技计划项目(2018004)
椎体成形术治疗骨质疏松性胸腰椎骨折的护理干预
Nursing intervention for vertebral plasty in treatment of osteoporotic thoracolumbar fracture
  
DOI:
中文关键词:  椎体成形术;骨质疏松性胸腰椎骨折;护理干预;临床疗效
英文关键词:Vertebral plasty; Osteoporotic thoracolumbar fracture; Nursing intervention; Clinical curative effects
作者单位
李萍,王炜昌,吴婷容,王伟雄,巫燕丽 广东省信宜市人民医院骨科,广东信宜 525300 
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中文摘要:
      [摘要] 目的 分析护理干预在椎体成形术治疗骨质疏松性胸腰椎骨折临床护理中的应用效果。 方法 从2017 年 1 月~ 2018 年 12 月本院收治的所有行椎体成形术的骨质疏松性胸腰椎骨折患者中选取自愿参与本次临床试验研究的骨质疏松性胸腰椎骨折患者 92 例作为对象,按照随机数字表法分为对照组和观察组,对照组 46 例实施常规临床护理,观察组 46 例在对照组常规护理的基础上实施综合护理干预;观察两组患者的肢体功能评分、依从性评分和住院时间,分析两组患者护理前后的 VAS 疼痛评分和生活自理能力 Barthel 指数评分;比较两组患者的护理满意度。 结果 观察组患者的住院时间显著短于对照组患者,肢体功能评分和依从性评分则较对照组高,差异有统计学意义(P < 0.05);护理前,两组患者 VAS 评分与 Barthel 指数评分差异无统计学意义(P > 0.05),护理后,观察组患者的 VAS 评分较对照组低,Barthel 指数评分较对照组高,差异有统计学意义(P < 0.05);观察组和对照组患者的护理满意度分别为 95.65% 和 76.09%,差异有统计学意义(P < 0.05)。 结论 对行椎体成形术进行治疗的骨质疏松性胸腰椎骨折患者实施综合护理干预,能够显著缩短患者的住院时间,提高患者的依从性评分与肢体功能评分,改善患者的疼痛程度与生活自理能力,明显提高患者的护理满意度,值得在临床护理中进行大力推广和广泛应用。
英文摘要:
      [Abstract] Objective To analyze the application effect of clinical nursing for vertebral plasty in treatment of osteoporotic thoracolumbar fracture. Methods 92 patients with vertebral plasty who volunteered to participate in clinical trial research from January 2017 to December 2018 were selected from those who underwent osteoporotic thoracolumbar fracture in our hospital. According to the random number table method, they were divided into the control group and the observation group. 46 patients in the control group were given routine clinical nursing while 46 patients in the observation group were given comprehensive nursing intervention on basis of routine nursing. The limb function score, compliance score and hospital stay in both groups were observed. VAS pain scores and self-care ability Barthel index scores before and after treatment of patients in the two groups were analyzed. The nursing satisfaction of patients in two groups were compared. Results The hospitalization time of the observation group was significantly shorter than that of the control group and the limb function score and compliance score were higher than those of the control group. The difference was statistically significant (P < 0.05). Before treatment, there was no statistically significant difference in VAS score and Barthel index between the control group and the observation group (P > 0.05). After nursing, the VAS score of the observation group was lower than that of the control group, and the Barthel index score was higher than that of the control group. The difference was statistically significant (P < 0.05). The nursing satisfaction of the observation group and the control group were respectively 95.65% and 76.09%, and the difference was statistically significant (P < 0.05). Conclusion Comprehensive nursing intervention for patients with osteoporotic thoracolumbar fractures treated with vertebral plasty can significantly shorten the hospitalization time, improve compliance score and limb function score of the patients, improve the pain level and self-care ability and effectively nursing satisfaction. It is worthy of wide promotion and widespread application in clinical nursing.
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