摘要
目的探讨在骨质疏松胸腰椎骨折患者护理中实施三维评估模式下的延续性护理后,对患者预后恢复效果的影响。方法选取2020年10月至2023年2月巴彦淖尔市医院收治的100例骨质疏松胸腰椎骨折患者作为研究对象,根据随机数字法分为观察组和对照组,各50例,对照组实施常规护理模式,观察组实施三维评估模式下的延续性护理,于入院当日、出院后1个月对比两组患者临床康复指标,并使用创伤后成长评定量表(Post Traumatic Growth Inventory,PTGI)和生活质量量表(Quality Of Life,QOL),分别测评两组患者创伤评分和疼痛感。结果入院当日,两组临床康复指标、PTGI量表评分及QOL量表评分对比差异无统计学意义(P>0.05);出院后1个月,比较对照组和观察组骨密度指标、椎体前后壁比值、PTGI量表评分及QOL量表评分均明显提升,观察组后凸Cobbs角低于对照组,差异有统计学意义(P<0.05)。结论实施三维评估模式下的延续性护理能够改善骨质疏松胸腰椎骨折患者骨密度及椎体前后壁等指标,提升其康复效果。
ObjectiveTo explore the impact of continuous nursing under the three-dimensional evaluation mode on the prognosis of patients with osteoporotic thoracolumbar fractures.MethodA total of 100 patients with osteoporotic thoracolumbar fracture treated in Bayannur City Hospital from October 2020 to February 2023 were selected as the study objects and divided into observation group and control group according to random number method,with 50 cases in each group.The control group received routine nursing care,while the observation group received continuous nursing care under three-dimensional evaluation mode.The clinical rehabilitation indicators of the two groups of patients were compared on the day of admission and one month after discharge.And the Post Traumatic Growth Inventory(PTGI)and Quality of Life(QOL)were used to evaluate the trauma score and pain sensation of the two groups of patients,respectively.ResultsOn the day of admission,there were no significant differences in clinical rehabilitation indexes,PTGI scale scores and QOL scale scores between the two groups(P>0.05).One month after discharge,the bone mineral density index,vertebral anterior-to-posterior ratio,PTGI scale score and QOL scale score were significantly improved between the control group and the observation group,and kyphotic Cobbs angle in the observation group was lower than that in the control group,with statistical significance(P<0.05).ConclusionsThe implementation of continuous nursing under the three-dimensional evaluation model can improve bone mineral density and vertebral anterior and posterior wall indexes of patients with osteoporotic thoracolumbar fracture,and enhance their rehabilitation effect.
作者
许巧丽
赵淑兰
Xu Qiaoi;Zhao Shuan(Department of Spine,Bayannur Hospital,Bayannur 015000,China)
出处
《国际护理学杂志》
2024年第20期3835-3839,共5页
international journal of nursing
基金
2021年巴彦淖尔市医院院内科研项目(2021014)。
关键词
三维评估模式下的延续性护理
骨质疏松
胸腰椎骨折
生活质量
创伤后评分
Continuous care under three-dimensional evaluation mode
Osteoporosis
Thoracic and lumbar spine fractures
Quality of life
Post trauma score
作者简介
通信作者:许巧丽,Email:1533503459@qq.com。
