摘要
目的:探讨实施快速康复外科护理对脊柱骨折患者的影响。方法:选择2019年2月-2020年10月蚌埠医学院第一附属医院78例脊柱骨折患者作为研究对象,根据随机数字表将其分为对照组与试验组,每组39例。两组患者分别接受常规护理及快速康复外科护理,比较两组术后24、48、72 h VAS评分,护理前及护理后6个月SF-36评分、心理状态,护理满意度、术后并发症发生率及住院时间、下床活动时间。结果:术后24、48、72 h试验组的VAS评分明显低于对照组(P<0.05),住院时间与下床活动时间明显优于对照组(P<0.05);试验组护理后6个月的SF-36评分明显高于对照组(P<0.05),汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均低于对照组(P<0.05);试验组护理总满意度高于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05)。结论:快速康复外科护理能够有效地降低脊柱骨折患者术后疼痛评分,改善患者的心理状态,并提升其生活质量。
Objective:To explore the impact of fast track surgery nursing on patients with spinal fractures.Method:From February 2019 to October 2020,a total of 78 patients with spinal fracture in the First Affiliated Hospital of Bengbu Medical College were selected as the study subjects,and they were divided into the control group and the experimental group according to the random number table,39 patients in each group.Patients in the two groups received routine nursing and fast track surgery nursing respectively.The VAS score at 24,48 and 72 h after surgery,SF-36 score,psychological state before and 6 months after nursing,nursing satisfaction,incidence of postoperative complications,hospital stay,and time to get out of bed were compared between the two groups.Result:The VAS scores of the experimental group were significantly lower than those of the control group at 24,48 and 72 h after surgery(P<0.05),the hospital stay time and time to get out of bed of the experimental group were significantly better than those of the control group(P<0.05).The SF-36 score of the experimental group was significantly higher than that of the control group at 6 months after nursing(P<0.05),and the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)scores of the experimental group were lower than those of the control group(P<0.05).The total nursing satisfaction of experimental group was higher than that of control group(P<0.05).The incidence of complications in experimental group was lower than that in control group(P<0.05).Conclusion:Fast track surgery nursing can effectively reduce the postoperative pain score of patients with spinal fractures,improve their psychological state,and improve their quality of life.
作者
马开菊
MA Kaiju(The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)
出处
《中外医学研究》
2021年第36期87-90,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
