冯宪英

[摘要] 目的 對胸腰椎骨折手术治疗患者实施精细化护理的效果予以探究。方法 方便选择该院手术的胸腰椎骨折手术患者78例作为该次研究纳入的对象，选取时间段为2018年2月—2019年1月，按照随机数字表法将其划分为常规护理组和精细护理组，每组39例。采用常规护理的方式对常规护理组予以护理，在此基础上，采用精细化护理的方式对精细护理组予以护理，对比两组患者的护理效果。结果 常规护理组护理前的焦虑评分为（56.3±5.8）分，抑郁评分为（56.7±5.3）分，精细护理组护理前的焦虑评分为（56.2±5.7）分，抑郁评分为（56.9±5.2）分，比较差异无统计学意义（P>0.05）。常规护理组护理后的焦虑评分为（45.4±4.2）分，抑郁评分为（47.1±4.3）分，精细护理组护理后的焦虑评分为（35.6±3.9）分，抑郁评分为（36.3±2.9）分。精细护理组护理后的焦虑和抑郁评分均明显低于常规护理组，差异有统计学意义（t=3.756、3.827，P<0.05）。常规护理组达到了84.6%的总满意度，精细护理组中达到了97.4%的总满意度。精细护理组的护理满意度明显高于常规护理组，差异有统计学意义（χ2=3.924，P<0.05）。结论 采用精细化护理的方式对胸腰椎骨折手术患者进行护理能够极大地改善患者的不良情绪，提高患者的护理满意度。

[关键词] 胸腰椎骨折患者;精细化护理;护理

[中图分类号] R816.8          [文献标识码] A          [文章编号] 1674-0742（2020）07（a）-0141-03

[Abstract] Objective To explore the effect of elaborate nursing care for patients with thoracolumbar vertebral fracture surgery. Methods Seventy-eight patients with thoracolumbar vertebral fracture surgery in the hospital were convenient selected as the subjects of this study， and the time period was selected from February 2018 to January 2019. They were divided into routine care group and fine care according to the random number table method. There were 39 cases in each group. The routine nursing group was used to provide care for the conventional nursing group， and on this basis， the refined nursing group was used to provide the nursing for the fine nursing group， and the nursing effects of the two groups of patients were compared. Results The anxiety score before nursing in the routine nursing group was （56.3±5.8）points， the depression score was （56.7±5.3） point， the anxiety score before nursing in the fine nursing group was （56.2±5.7）points， and the depression score was （56.9±5.2） points. the difference was not statistically significant（P>0.05）.The post-care anxiety score of the conventional nursing group was （45.4±4.2） points， the depression score was （47.1±4.3） points， the post-care anxiety score of the fine care group was （35.6±3.9） points， and the depression score was （36.3±2.9） points. The anxiety and depression scores of the fine care group after nursing were significantly lower than those of the conventional care group. The difference between the two groups of patients was statistically significant（t=3.756， 3.827， P<0.05）. The general nursing group achieved a total satisfaction of 84.6%， and the fine nursing group achieved a total satisfaction of 97.4%. The nursing satisfaction of the fine nursing group was significantly higher than that of the conventional nursing group. The difference between the two groups of patients was statistically significant（χ2=3.924， P<0.05）. Conclusion Care for patients with thoracolumbar vertebral fracture surgery by means of elaborate nursing can greatly improve the patients' bad mood and improve their nursing satisfaction.

[Key words] Patients with thoracolumbar vertebral fractures; Elaborate nursing; Nursing

在临床中胸腰椎骨折是一种常见骨折类型，为了保证胸腰椎骨折患者的脊柱曲线和高度，最大限度地降低脊柱活动度的丢失，必须要采用科学的治疗方式对患者进行治疗[1]。目前临床上大多通过手术内固定的方式对胸腰椎骨折患者进行治疗，从而维持患者的椎体稳定性。不过手术方式本身会对患者造成损伤，而且患者在手术后会面临着长期卧床、不能自主排便和剧烈的疼痛感，这些都会导致患者出现各种不良情绪，影响患者的治疗配合度，对手术的效果和预后具有十分不利的影响，因此要重视对胸腰椎骨折手术患者的护理工作，降低手术应激反应，降低并发症发生率[2]。基于……