摘要
目的 探讨在行手术治疗的脊柱骨折患者中采取快速康复护理模式的效果。方法 选取2022年6月-2023年6月在第九〇九医院厦门大学附属东南医院进行手术治疗的96例脊柱骨折患者作为研究对象。所有患者按照护理方案的不同分为快速康复组61例和常规组35例,快速康复组采取快速康复护理,常规组采取常规护理。比较两组患者术前与术后疼痛情况、干预前后生存质量,以及术后恢复情况、并发症发生情况及护理满意度。结果 两组术后24 h和48 h疼痛视觉模拟评分均低于术前,且快速康复组低于常规组,差异有统计学意义(P <0.05)。快速康复组患者术后恢复情况指标中术后首次下床活动时间和住院时间均短于常规组,差异有统计学意义(P<0.05)。干预后两组生存质量SF-36量表评分均高于干预前,且快速康复组高于常规组,差异有统计学意义(P<0.05)。快速康复组术后并发症发生率低于常规组,护理满意度高于常规组,差异有统计学意义(P<0.05)。结论 对于行手术治疗的脊柱骨折患者,采取快速康复护理较常规护理,可进一步减轻患者疼痛,促进患者术后康复,同时,还可提高患者的生存质量和护理满意度,值得推广使用。
Objective To explore the effectiveness of adopting a rapid rehabilitation nursing model in patients with spinal fractures undergoing surgical treatment.Methods A total of 96 patients with spinal fractures who underwent surgical treatment at Southeast Hospital Affiliated to Xiamen University(No.909 Hospital)from June 2022 to June 2023 were selected as the study subjects.All patients were divided into a rapid rehabilitation group of 61 cases and a conventional group of 35 cases according to different nursing plans.The rapid rehabilitation group received rapid rehabilitation nursing,while the conventional group received conventional nursing.Compare the preoperative and postoperative pain levels,quality of life before and after intervention,postoperative recovery,incidence of complications,and nursing satisfaction between two groups.Results The visual analogue scores of pain at 24 and 48 hours after surgery in both groups were significantly lower than those before surgery,and the rapid rehabilitation group was significantly lower than the conventional group(P<0.05).The postoperative recovery indicators of patients in the rapid rehabilitation group were significantly shorter in early ambulation and hospital stay than those in the conventional group(P<0.05).After intervention,the SF-36 quality of life scores of both groups were significantly higher than before intervention,and the rapid rehabilitation group was significantly higher than the conventional group(P<0.05).The incidence of postoperative complications in the rapid rehabilitation group was significantly lower than that in the conventional group,and nursing satisfaction was significantly higher than that in the conventional group(P<0.05).Conclusion For patients with spinal fractures undergoing surgical treatment,adopting rapid rehabilitation nursing is more effective than conventional nursing,which can further reduce patient pain,promote postoperative recovery,and improve patient quality of life and nursing satisfaction.It is worth promoting and using.
作者
叶城晨
陈雪玲
游健荣
尤芸芸
YE Chengchen;CHEN Xueling;YOU Jianrong;YOU Yunyun(Department of Orthopedics,No.909 Hospital,Southeast Hospital Affiliated to Xiamen University,Zhangzhou 363000,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2024年第5期62-65,69,共5页
Chinese Practical Journal of Rural Doctor
关键词
脊柱骨折
手术
快速康复护理
疼痛
效果
Spinal Fracture
Operation
Rapid Rehabilitation Nursing
Pain
Effect
