綜合護(hù)理干預(yù)骨質(zhì)疏松椎體壓縮性骨折經(jīng)皮椎體成形術(shù)圍手術(shù)期患者臨床應(yīng)用研究

王哲

【摘要】 目的 探討綜合護(hù)理干預(yù)骨質(zhì)疏松椎體壓縮性骨折經(jīng)皮椎體成形術(shù)圍手術(shù)期患者臨床療效。方法 60例經(jīng)皮椎體成形術(shù)治療的骨質(zhì)疏松椎體壓縮性骨折患者， 應(yīng)用信封法隨機(jī)分為試驗(yàn)組與對照組， 每組30例。對照組應(yīng)用常規(guī)護(hù)理方案， 試驗(yàn)組在對照組基礎(chǔ)上應(yīng)用綜合護(hù)理干預(yù)方案， 觀察兩組患者生存質(zhì)量及臨床護(hù)理滿意情況。結(jié)果 試驗(yàn)組護(hù)理后生存質(zhì)量評分為（133.42±9.26）分， 明顯高于對照組的（102.10±8.89）分， 差異具有統(tǒng)計學(xué)意義（P<0.05）。試驗(yàn)組臨床護(hù)理滿意率為93.33%， 高于對照組的73.33%， 差異具有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 骨質(zhì)疏松椎體壓縮性骨折經(jīng)皮椎體成形術(shù)圍手術(shù)期患者應(yīng)用綜合護(hù)理干預(yù)方案可明顯改善患者各項(xiàng)生存質(zhì)量水平， 配合及時有效的康復(fù)鍛煉， 可使患者早日恢復(fù)自理能力， 提高臨床療效及護(hù)理滿意度， 臨床療效優(yōu)異， 值得臨床推廣。

【關(guān)鍵詞】 骨質(zhì)疏松椎體壓縮性骨折；經(jīng)皮椎體成形術(shù)；綜合護(hù)理

DOI：10.14163/j.cnki.11-5547/r.2017.25.094

【Abstract】 Objective To investigate the clinical application effect of perioperative application of comprehensive nursing intervention for osteoporotic vertebral compression fracture patients undergoing percutaneous vertebroplasty. Methods A total of 60 osteoporotic vertebral compression fracture patients undergoing percutaneous vertebroplasty were divided by envelope random grouping method into experimental group and control group， with 30 cases in each group. The control group received conventional nursing regimen， and the experimental group received comprehensive nursing intervention regimen. Observation were made on quality of life and clinical nursing satisfaction condition in two groups. Results The experimental group had obviously higher perioperative quality of life score as （133.42±9.26） points than （102.10±8.89） points in the control group after nursing， and the difference had statistical significance （P<0.05）. The experimental group had higher clinical nursing satisfaction degree as 93.33% than 73.33% in the control group， and the difference had statistical significance （P<0.05）. Conclusion For perioperative patients with osteoporotic vertebral compression fractures undergoing percutaneous vertebroplasty， comprehensive nursing intervention provides excellent clinical efficacy， and it can obviously improve the quality of life of patients， along with timely and effective rehabilitation exercise， which can promote early recovery of self-care ability， improve the clinical efficacy and nursing satisfaction degree. So it is worthy of clinical promotion.

【Key words】 Osteoporotic vertebral compression fracture； Percutaneous vertebroplasty； Comprehensive nursing intervention

隨著社會老齡化的不斷進(jìn)展， 骨質(zhì)疏松癥一直困擾著廣大患者， 尤其以骨質(zhì)疏松性椎體壓縮性骨折的預(yù)防與治療難題難以克服[1]。臨床治療骨質(zhì)疏松癥主要以改善骨質(zhì)代謝藥物、功能活動及充足日光浴為主[2]。目前針對骨質(zhì)疏松性椎體壓縮性骨折患者應(yīng)用經(jīng)皮椎體成形術(shù)治療， 但常規(guī)護(hù)理難以保證患者得到足夠的功能鍛煉及日光浴， 常因臥床加重骨質(zhì)疏松癥病情， 嚴(yán)重影響臨床療效及患者生存質(zhì)量[3]。本院為改善骨質(zhì)疏松椎體壓縮性骨折患者治療狀況， 對經(jīng)皮椎體成形術(shù)圍手術(shù)期患者應(yīng)用綜合護(hù)理干預(yù)方案， 并通過大量臨床試驗(yàn)驗(yàn)證， 取得滿意結(jié)果， 現(xiàn)報告如下。

1 資料與方法endprint

1. 1 一般資料 選取2016年3月～2017年3月在本院沈陽醫(yī)學(xué)院附屬第二醫(yī)院骨二科行經(jīng)皮椎體成形術(shù)治療的60例骨質(zhì)疏松性椎體壓縮性骨折患者， 采用信封法隨機(jī)分為試驗(yàn)組和對照組， 每組30例。……