胸腰椎骨折内固定术后患者应用早期康复护理临床效果探究.docVIP

胸腰椎骨折内固定术后患者应用早期康复护理临床效果探究 　　【摘要】 目的 探究胸腰椎骨折?裙潭ㄊ鹾蠡颊哂τ迷缙诳蹈椿だ淼牧俅残Ч?。方法 100例行胸腰椎骨折内固定术患者随机分为实验组和对照组， 各50例。对照组采用常规护理方法， 实验组在对照组基础上采用早期康复护理。对比两组患者的护理满意度以及心理状态。结果 护理后， 实验组非常满意28例、满意20例、不满意2例， 护理满意度为96%；对照组非常满意21例、满意16例、不满意13例， 护理满意度为74%；实验组护理满意度明显高于对照组， 差异具有统计学意义（P0.05）。护理后， 实验组焦虑自评量表（SAS）评分为（42.12±2.76）分、抑郁自评量表（SDS）评分为（42.17±2.56）分；对照组SAS评分为（49.62±3.26）分、SDS评分为（49.62±3.31）分；实验组SAS、SDS评分均明显优于对照组， 差异具有统计学意义（P0.05）。结论 胸腰椎骨折内固定术后患者应用早期康复护理取得了显著效果， 显著提升了护理满意度， 改善了患者焦虑、抑郁的心理状态， 值得进一步推广和使用。 　　【关键词】 胸腰椎骨折；内固定；早期康复护理；效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.03.081 　　Investigation of clinical effect by early rehabilitation nursing applied for patients after thoracolumbar vertebral fracture internal fixation operation ZHU Yue-mei. Department of Orthopedics， Inner Mongolia Ulan Qab City Central Hospital， Ulan Qab 012000， China 　　【Abstract】 Objective To investigate clinical effect by early rehabilitation nursing applied for patients after thoracolumbar vertebral fracture internal fixation operation. Methods A total of 100 patients in thoracolumbar vertebral fracture internal fixation operation were randomly divided into experimental group and control group， with 50 cases in each group. The control group received conventional nursing method， and the experimental group received early rehabilitation nursing on the basis of nursing in the control group. Nursing satisfaction and psychological states were compared between the two groups. Results After nursing， there were 28 case with excellent satisfaction， 20 case with satisfaction and 2 cases with dissatisfaction in the experimental group， along with nursing satisfaction as 96%. The control group had 21 case with excellent satisfaction， 16 case with satisfaction and 13 cases with dissatisfaction in the experimental group， along with nursing satisfaction as 74%. The experimental group had obviously higher nursing satisfaction than the control group， and their difference had statistical significance （P 　　【Key words】 Thoracolumbar ver