摘要
目的在胸腰椎爆裂性骨折患者围术期构建基于循证理念的临床护理路径,并探讨其应用价值。方法将100例胸腰椎爆裂性骨折患者随机分为对照组(48例)和研究组(52例),均实施常规护理,后者另构建基于循证理念的临床护理路径。对比两组护理前、后焦虑、抑郁、疼痛评分、术后首次排气、排便、下床活动时间及并发症发生情况。结果护理后,两组焦虑、抑郁情绪评分均降低,且研究组低于对照组(P<0.05);两组术后疼痛评分均随着时间延长逐渐降低,且研究组低于对照组(P<0.05);研究组术后首次排气、排便、下床活动时间均短于对照组(P<0.05),研究组并发症总发生率低于对照组(P<0.05)。结论对胸腰椎爆裂性骨折患者围术期构建基于循证理念的临床护理路径不仅能够减轻患者焦虑、抑郁情绪,并且还可控制术后疼痛,加快疾病的恢复,减少并发症的发生。
Objective To construct the clinical nursing pathway based on evidence-based concept in patients with thoracolumbar burst fractures during perioperative period, and explore its application value. Methods A total of 100 cases of patients with thoracolumbar burst fractures were randomly divided into control group（48 cases） and study group（52 cases）, and the routine nursing was carried out in both groups. The clinical nursing pathway based on evidence-based concept was constructed in the study group. The anxiety, depression and pain scores before and after nursing, the time of postoperative first exhausting, defecation and ambulation and complications were compared between the two groups. Results After nursing, the scores of anxiety and depression in the two groups decreased, and those in the study group were lower than the control group（P〈0.05）. The pain scores of the two groups decreased as time prolonged, and those in the study group were lower than the control group（P〈0.05）. The time of postoperative first exhausting, defecation and ambulation in the study group were shorter than those of the control group（P〈0.05）, and the total incidence of the complications was less than that of the control group（P〈0.05）. Conclusion The establishment of clinical nursing pathway based on evidence-based concept in the perioperative period of thoracolumbar burst fracture can not only reduce anxiety and depression emotion of patients, but also control postoperative pain, accelerate disease recovery and reduce complications.
作者
张艳
李林丽
孙菊
张岚
ZHANG Yan, LI Lin-li, SUN Ju, ZHANG Lan(Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, Chin)
出处
《临床医学研究与实践》
2018年第24期187-188,共2页
Clinical Research and Practice
关键词
循证理念
临床护理路径
胸腰椎爆裂性骨折
evidence-based concept
clinical nursing pathway
thoracolumbar burst fracture
