舒适护理干预对胸腰椎压缩性骨折患者心理状态、并发症和护理满意度的影响简

目的 探讨舒适护理干预对胸腰椎压缩性骨折患者心理状态、并发症和护理满意度的影响.方法 选择2008年1月～2013年7月杭州市第一人民医院住院治疗的胸腰椎压缩性骨折的患者100例,采用随机数字表分为常规护理组和舒适护理组,各50例.两组患者均予以胸腰椎压缩性骨折常规治疗及护理,舒适护理组在此基础上加用舒适护理干预,两组干预时间均为2周.观察并比较两组患者治疗前后心理状态、并发症和护理满意度的变化.结果 干预2周后,两组患者SAS和SDS评分（48.67±6.95）、（40.52±5.72）、（44.67±5.72）、（36.27±5.12）分]较治疗前（57.29±8.42）、（56.86±9.03）、（52.14±6.89）、（51.75±7.19）分]均有明显下降（t=2.37、2.32、2.88、2.97,P＜0.05或P＜0.01）,且舒适护理组下降幅度较对照组更明显（t=2.25、2.28,P＜0.05）,且舒适护理组患者的并发症的发生率（20.0％）明显低于常规护理组（38.0％）（x2=3.93,P＜0.05）.舒适护理组患者的服务态度、技术水平、健康宣教、关爱患者、心理支持等五个分项的护理满意度（98.0％、94.0％、96.0％、94.0％、98.0％）均明显高于常规护理组（80.0％、76.0％ 、78.0％、74.0％、72.0％）（x2=8.27、6.35、7.16、4.57、13.25,P＜0.05或P＜ 0.01）.结论 舒适护理干预能明显改善胸腰椎压缩性骨折患者的减轻患者的抑郁、焦虑等不良情绪,改善患者的心理状态,减少患者的并发症,提高患者对治疗和护理的满意度.

Influence of comfortable nursing intervention on metal status,complication and nursing satisfaction of patients with thoracolumbar vertebral compression fractures

Objective To discuss influence of comfortable nursing intervention on metal status,complication and nurs ing satisfaction of patients with thoracolumbar vertebral compression fractures.Methods 100 cases of patients with thoracolumbar vertebral compression fractures in the First People＇s Hospital of Hangzhou City from January 2008 to July 2013 were selected,and divided into routine nursing group and comfortable nursing group by table of random number,with 50 cases in each group.The patients in two groups were given routine treatment and nursing of thoracolumbar vertebral compression fractures for 2 weeks,while patients in comfortable group were additionally given comfortable nursing intervention for 2 weeks.The changes of metal status,complication and nursing satisfaction of patients in two groups before and after medical treatment were observed and compared.Results After 2 weeks＇ intervention,the SAS and SDS scores of patients in two groups （48.67±6.95）,（40.52±5.72）,（44.67±5.72）,（36.27±5.12） scores] declined obviously than before （57.29±8.42）,（56.86±9.03）,（52.14±6.89）,（51.75±7.19） scores] （t =2.37,2.32,2.88,2.97,P ＜ 0.05or P ＜ 0.01）,and the declining rate in comfortable nursing group was much higher than that in control group （t =2.25,2.28,P ＜ 0.05）,while the occurrence rate of complication of patients in comfortable group （20.0％） was much lower than that in routine nursing group （38.0％） （x2=3.93,P ＜ 0.05）.The nursing satisfaction of service attitude,technical skills,health education,caring for patients,and mental support of patients in comfortable nursing group were much higher than those in routine nursing group （80.0％,76.0％,78.0％,74.0％,72.0％） （x2=8.27,6.35,7.16,4.57,13.25,P ＜ 0.05 or P ＜ 0.01）.Conclusion Comfortable nursing intervention can obviously reduce the negative emotion of depression,anxiety and etc of patients with thoracolumbar vertebral compression fractures,as well as the metal status,reduce the complication and enhance the satisfaction of treatment and nursing by patients.