摘要
目的探讨经皮椎体成形术治疗胸腰椎压缩性骨折患者的围术期综合护理效果。方法2015年9月至2017年3月,便利抽样法选取在上海市新华医院住院接受经皮椎体成形术(percutaneous vertebroplasty,PVP)术治疗的患者331例为研究对象。按入院时间先后将其分为两组,分别接受综合护理和一般护理,患者出院时使用自制调查表评价护理工作满意度。随访患者术后一过性腰背痛发生情况,将发生术后一过性腰背痛的患者分成两组,分别给予长效透皮缓释贴剂和口服短效镇痛剂进行疼痛管理,使用疼痛视觉模拟评分(visual analogue scale/score,VAS)来评价不同策略的有效性。结果接受综合护理的患者出院时护理满意度评分为(90±5.2)分;接受一般护理的患者出院时护理满意度评分为(73±7.6)分,差异有统计学意义(P<0.05)。一过性腰背痛发生率24.2%;应用疼痛管理措施后,长效透皮缓释贴剂组疼痛明显改善,与口服短效镇痛剂相比,VAS评分差异有统计学意义(P<0.01)。术后1个月时,全部病例腰背部疼痛均明显缓解,两组差异无统计学意义(P>0.05)。结论综合护理能够改善患者就医体验,保障临床疗效,具有很高的临床应用和推广价值。
Objective To assess the perioperative comprehensive nursing effect of patients with vertebral compression fracture underwent percutaneous vertebroplasty(PVP).Methods By convenience sampling,331 cases were selected and divided into two groups according to admision time,and received comprehensive nursing and routine nursing,respectively.The nursing satisfaction were evaluated by using self-design questionnaire at the time of discharge.Patients with postoperative pain was followed-up and divided the patients into two groups and applied with time-released transdermal patch or placebo patch for pain management.Back pain was measured using the visual analogue scale(VAS)in different pain management strategies.Results The nursing satisfaction at discharge in comprehensive nursing patients was(90±5.2),and(73±7.6)in patients received routine nursing(P<0.05).The incidence of postoperative back pain was24.2%;time-released transdermal patch could effectively relieve pains and improve quality of life(P<0.01).After 1 month,the back pain in all patients were significantly improved(P>0.05).Conclusion The comprehensive nursing care could markedly improve patient satisfaction,ensure the clinical efficacy,and it is worth of clinical application and promotion.
出处
《解放军护理杂志》
CSCD
2017年第18期45-48,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
经皮穿刺椎体成形术
胸腰椎骨折
并发症
护理
疼痛管理
percutaneous vertebroplasty
vertebral compression fracture
complication
nursing
pain management
