连续性护理在改善胸腰椎压缩性骨折患者心理状态及降低并发症中作用.docVIP

连续性护理在改善胸腰椎压缩性骨折患者心理状态及降低并发症中作用 　　[摘要]目的 探讨连续性护理在改善胸腰椎压缩性骨折患者心理状态及降低并发症中的作用。方法 将2014年2月～2016年12月在我院治疗的100例胸腰椎压缩性骨折患者按照随机数字表法分为两组，50例予以常规护理干预（对照组），50例予以连续性护理干预（研究组）。比较两组患者症状自评量表（SCL-90）评分、日常生活能力评分（ADL）及并发症发生情况。结果 干预前，两组患者SCL-90各维度评分比较差异无统计学（P0.05）；干预后，研究组患者SCL-90各维度评分均显著低于对照组（P0.05）；干预后，研究组患者ADL评分显著高于对照组（P0.05），研究组并发症发生率为8.00%显著低于对照组（54.00%），差异有统计学意义（P0.05）。结论 在胸腰椎压缩性骨折患者护理中选择连续性护理可显著改善患者心理状态，提高患者日常生活能力，降低并发症发生率。 　　[关键词]胸腰椎压缩性骨折；连续性护理；并发症；心理状态 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0183-03 　　The role of continuous nursing in improving the mental status and reducing complications in patients with thoracolumbar compression fracture 　　LIANG Fen YANG Guo-jun LIN Jia-wei LIN Jing YOU Xiao lian 　　Ward Two of Department of Orthopedics，People′s Hospital of Lianjiang City of Guangdong Province，Lianjiang 524400，China 　　[Abstract]Objective To explore the role of continuous nursing in improving the psychological status of patients with thoracolumbar vertebral compression fractures and reducing the incidence of complications.Methods 100 patients with thoracolumbar vertebral compression fractures treated in our hospital from February 2014 to December 2016 were divided into two groups according to the random number method，50 cases were treated with routine nursing intervention （control group），50 cases were treated with continuous nursing intervention （study group）.The two groups of patients were compared with symptom checklist 90 （SCL-90） score，daily living ability score （ADL） and complications.Results Before the intervention，the dimensions of SCL-90 scores between two groups had no significant difference（P0.05），stem dimensions prognosis in patients of the study group SCL-90 scores were significantly lower than control group（P0.05），intervention group patients ADL the score was significantly higher than the control group （P0.05），The incidence of complications in the study group （8.00%））was significantly lower than that in the control group （54.00%） （P0.05）.Conc