基于护理程序的整体护理干预对胸腰段脊柱骨折患者内固定术后的干预效果

成霞; 王翠娟; 吴丹; 汪万丽; 潘浩

doi:10.16766/j.cnki.issn.1674-4152.000767

基于护理程序的整体护理干预对胸腰段脊柱骨折患者内固定术后的干预效果

doi: 10.16766/j.cnki.issn.1674-4152.000767

成霞¹,
王翠娟^1, ,,
吴丹¹,
汪万丽²,
潘浩¹

1. 杭州市中医院骨伤科, 浙江杭州 310007;
2. 浙江省中医院骨伤科, 浙江杭州 310006

基金项目:

浙江省医药卫生科技计划项目(2017C33208)

详细信息

通讯作者:
王翠娟,E-mail:wcj2929@sina.com

中图分类号: R683.2;R473.6
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出版历程
- 收稿日期: 2018-10-09

Intervention effect of holistic nursing intervention based on nursing procedure on patients with thoracolumbar spine fracture after internal fixation

Department of Orthopedics and Traumatology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310007, China

摘要

摘要: 目的观察对胸腰段脊柱骨折患者内固定术后基于护理程序施行整体护理的护理效果。方法纳入2015年1月—2017年12月杭州市中医院收治的106例外伤性胸腰段脊柱骨折患者作为观察对象。患者术后按照随机数字表法分别施行常规护理(对照组，53例)和基于护理程序施行整体护理(观察组，53例)。观察手术切口愈合情况、治疗优良率、引流情况(引流量和拔引流管时间)、术后并发症的发生率、术后的相关指标(平均住院时间，骨折完全愈合时间，肌力恢复时间)。结果 2组术后拔引流管时间比较差异有统计学意义(t=4.480,P<0.05)。术后2周,2组患者的手术切口均获得一期愈合。观察组手术后治疗优良率为94.34%(50/53)，对照组为81.13%(43/53)，2组差异有统计学意义(χ²=4.140,P＜0.05)。观察组平均住院时间为(15.35±2.28)d,明显少于对照组的(23.74±3.60)d(t=14.334,P＜0.05)。观察组骨折完全愈合时间[(8.34±1.27)个月]、肌力恢复时间[(13.05±2.29)个月]均明显优于对照组[(5.12±0.16)个月、(3.75±0.43)个月]，均P＜0.05。观察组术后并发症发生率为1.89%(1/53)，明显低于对照组的13.21%(7/53，χ²=5.740,P=0.017)。结论对脊柱骨折患者内固定术后基于护理程序的整体护理干预可以有效保障手术效果，降低术后并发症发生率，缩短患者的住院时间，促进患者更快康复。
- 脊柱骨折 /
- 内固定术 /
- 护理程序 /
- 整体护理 /
- 干预效果
Abstract: Objective To investigate the effect of holistic nursing on thoracolumbar spine fracture patients after internal fixation based on nursing procedure. Methods A total of 106 patients from January 2015 to December 2017 with traumatic thoracolumbar spine fractures were enrolled as observation objects. According to the random number table method, the patients were accepted with routine nursing (control group, 53 cases) or holistic nursing based on nursing procedure (observation group, 53 cases) after operation respectively. To investigate the healing of incision, the rate of excellent and good treatment, drainage (drainage volume and drainage time), the incidence of complications after operation, and the related indicators after operation (average hospitalization time, fracture healing time, muscle strength recovery time). Results There was significant difference in the time of drainage tube extraction between the two groups (t=4.480, P<0.05). Two weeks after operation, the incisions of both groups were healed. The excellent and good rate was 94.34%(50/53) in the observation group and 81.13%(43/53) in the control group. There was significant difference between the two groups(χ²=4.140, P<0.05). The average hospital stay in the observation group (15.35±2.28 days) was significantly less than that in the control group (23.74±3.60)days, (t=14.334, P<0.05).The complete healing time (8.34 ±1.27)months and muscle strength recovery time (13.05±2.29)months in the observation group were significantly better than those in the control group [(5.12±0.16)months, (3.75±0.43)months], all P<0.05. The incidence of postoperative complications in the observation group was 1.89% (1/53), significantly lower than that in the control group (13.21%, 7/53, χ²= 5.740, P=0.017). Conclusion The holistic nursing intervention based on nursing procedure can effectively guarantee the effect of operation, reduce the incidence of postoperative complications, shorten the hospitalization time of patients with spinal fracture after internal fixation, and promote faster recovery of patients.
- Spinal fracture /
- Internal fixation /
- Nursing procedure /
- Holistic nursing /
- Intervention effect