系统护理干预对胸腰椎骨折患者心理状况及并发症的影响.docVIP

系统护理干预对胸腰椎骨折患者心理状况及并发症的影响 潘秀花 自贡市第三人民医院骨科四川自贡 643020 【 】 目的 探讨胸腰椎骨折患者术后实施系统护理干预对心理状况及 并发症发生情况的影响?方法 选取2 0 12年7月一20 1 4年3月我院收治 的胸腰椎骨折患者为研究对象，通过抽签法分为观察组与对照组，每组7 8例，对 照组在术后实施常规护理，观察组在术后给予系统护理干预，观察两组患者干预前 后心理状况及术后并发症发牛情况.结果 两组患者干预前SAS、SDS评分无显著 差异(P0?0 5),干预后均有改善，但观察组SAS、SDS评分同对照组比较，均明 显较低(PV0?0 5 );观察组术后尿路感染、腹胀、压疮及便秘等并发症发牛率 同对照组比较，明显较低(PV0?0 5).结论 对于胸腰椎骨折手术治疗患者，在术 后给予系统护理干预，能有效改善患者心理状况，减少并发症发牛,提高患者舒适 度,促进患者康复，值得推广.【关键词】 胸腰椎骨折；术后康复；系统护理； 心理状况；并发症 System nursinginterve ntiono fme ntalstatusa ndcomplicationsi npatie ntswiththoracolu mbarfractures PanXiu Hua (Departmentoforthopaedic,TheThirdPeoplersquo;shospitalofZiGong,SiChuan, 6 4 0 2 0 ) [Abstract] objective:tostudytheimpleme ntationo fthesystemo fn ursinginterve ntionon postoperati vemortalityi npatie ntswiththoracolumbarfracturespsychologicalconditiona ndtheimpa ctofcomplications? Methods:July 2 0 12— March 2 0 1 ,ourhospitalpatientswiththoracolumbarfracturesastheresearchobG ject,throughthedrawmethoddividedintoobservationgroupandcontrolgroup, 7 8 casesi neachgroup,c on trolgroupiscarriedouti nconventionaln ursi ng,post G operativeobservati on groupi nthesystemapplicati on postoperativelynursi ngin terve ntio postoperativecomplications. Results:thetwogroupsbeforeinterventioninpatientswith SASandSDSscorehadnosignificantdifference(P 0 ? 0 ),andaftertheinterventionhasimprovedzbuttheobservationgroupofSAS,SDSscoresco mparedtocontrolgroup,weresignificantlylower(P 0 ? 0 5 )；ObG servatio ngroupofpostoperativeuri narytractinfectio n,abdominaldiste nsion,bedsorea n dincide nceofcomplicatio nssuchascon stipati on comparedtoc on trolgroup,sig nifica ntlyl ower(P 0 . 0 5 ). Conclusion:forpatientswiththoracolumbarfracturessurgery’systemapplicationpo stoperatively nursinginterve ntion caneffectivelyimprovepatie ntspsychologicalstatusje ducecomplicatio nsan dimprovepatie ntcomfort,promotepatientsrecovery,isworthpro moting?【Keywords] Thoracolumbarfractures; Postoperativerehabilitation; Systemsofcare; Psychologicalconditions; Complicatio