早期护理干预对胸腰椎骨折术后心理及并发症的影响

2016-07-23李俊民

中国卫生标准管理 2016年8期

李俊民

李俊民

【摘要】目的探讨胸腰椎骨折术后患者应用早期护理干预对心理和并发症的影响。方法选取2013年11月～2015年11月收治的胸腰椎骨折患者76例，随机分为两组，各38例。对照组行常规护理，观察组行早期护理干预，对比两组护理效果。结果观察组手术后SAS、SDS评分低于对照组，差异有统计学意义（P＜0.05）；观察组手术后VAS评分低于对照组，QOL评分高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P＜0.05）。结论胸腰椎骨折术后患者应用早期护理干预可改善患者心理状态，减轻患者疼痛，提高生活质量，减少并发症。

【关键词】早期护理干预；胸腰椎骨折；心理状态；并发症

Objective To investigate the influence of early nursing intervention on psychology and complication of patients with thoracolumbar vertebral fracture. Methods 76 cases with thoracolumbar vertebral fracture in our hospital from November 2013 to November 2015 were selected and divided into two groups，38 cases in each group. Control group was given conventional nursing and observation group was given early nursing intervention. Compared the nursing effect of the two groups. Results SAS、SDS score of observation group were lower than control group，the difference was statistically significant（P＜0.05）. VAS score of observation group was lower than control group after treatment，the difference was statistically significant（P＜0.05）. Conclusion Early nursing intervention in treating patients with thoracolumbar vertebral fracture can improve psychological states，relieve pain feeling and lower the complication rate.

【Key words】 Early nursing intervention，Thoracolumbar vertebral fracture，Psychological states，Complications

胸腰椎骨折是一种发病率较高的骨科疾病，患者的致病原因主要为车祸和高处跌落等［1］。胸腰椎骨折会导致局部出血，进而导致血肿压迫，而患者在经过治疗后需进行卧床休息，这些均会造成机体内脏植物神经发生紊乱，降低胃肠蠕动功能，患者骨折12 h后会出现腹胀等症状［2］。而长期卧床也会导致患者出现便秘、压疮等症状，因此需给予患者有效护理干预［3］。在本研究中，对我院收治的胸腰椎骨折患者给予早期护理干预，对比常规效果。结果示下。