摘要
目的:探讨以时机理论为主的延续性护理在椎体压缩性骨折患者术后的应用价值。方法:选取2018年1月—2020年1月佳木斯市中医医院收治的98例椎体压缩性骨折行经皮椎体后凸成形术(PKP)患者作为研究对象,按随机分组法分为对照组和研究组,每组各49例。对照组采用常规护理,研究组在对照组常规护理基础上实施以时机理论为基础的延续性护理干预。比较两组患者日常生活能力[日常生活活动能力评定量表(Barthel指数)评分]、照顾者照顾能力[照顾者照顾能力测量表(FCTI)评分]、生活质量[采用健康状况调查评价量表(SF-36)评分]、并发症发生情况。结果:干预后1个月、干预后2个月、干预后3个月,研究组Barthel指数评分均高于对照组,差异有统计学意义(t=17.922、17.822、10.243,P<0.05)。干预后,研究组FCTI量表中适应照顾角色、应变提供协助、处理个人情绪需要、评估家人与社区资源、调整生活满足照顾需求等5个维度评分均低于对照组,差异有统计学意义(t=1.190、4.220、6.739、5.255、4.677,P<0.05)。干预后,研究组SF-36量表中各维度评分均高于对照组,差异有统计学意义(t=4.026、2.648、4.547、4.168、2.215,P<0.05)。研究组并发症发生率为6.12%,明显低于对照组的30.61%,差异有统计学意义(χ2=12.080,P<0.05)。结论:以时机理论为基础的延续性护理在椎体压缩性骨折PKP术后患者中应用,能够有效提高照顾者照顾能力,加强患者自我护理意识,提高患者生活质量,降低并发症发生率。
Objective:To study and explore the application value of continuous nursing based on timing theory in patients with vertebral compression fractures.Methods:98 patients admitted to the hospital from January 2018 to January 2020 with vertebral compression fractures undergoing percutaneous kyphoplasty(PKP)were selected for the study,and were divided into a control group and a study group according to the randomized grouping method,with 49 cases in each group.The control group used con⁃ventional care,and the study group implemented a continuity of care intervention based on timing theory based on conventional care in the control group.The ability to perform activities of daily living(Activities of Daily Living Scale[Barthel Index]score),caregiver caregiving ability(Caregiver Caregiving Capacity Inventory[FCTI]score),quality of life(Health Status Survey Evaluation Scale[SF-36]score),and the occurrence of complications were compared between the two groups.Results:The Barthel index scores were higher in the study group than in the control group at 1 month,2 months,and 3 months after the intervention,with sta⁃tistically significant differences(t=17.922,17.822,10.243,P<0.05).After the intervention,the scores of the five dimensions of ad⁃aptation to the caregiving role,resilience to provide assistance,handling personal emotional needs,assessing family and community resources,and adjusting life to meet caregiving needs in the study group FCTI were lower than those in the control group,with sta⁃tistically significant differences(t=1.190,4.220,6.739,5.255,4.677,P<0.05).After the intervention,all dimensional scores in the SF-36 were higher in the study group than in the control group,with statistically significant differences(t=4.026,2.648,4.547,4.168,2.215,P<0.05).The complication rate in the study group was 6.12%,which was significantly lower than 30.61%in the con⁃trol group,and the difference was statistically significant(χ2=12.080,P<0.05).Conclusion:The application of continuity of care based on timing theory in the rehabilitation of postoperative patients with vertebral compression fractures PKP can effectively im⁃prove the caregivers’ability to care,strengthen the patients’awareness of self-care,improve the patients’quality of life,and re⁃duce the incidence of complications.
作者
陆羽
LU Yu(Jiamusi Traditional Chinese Medicine Hospital,Jiamusi,Heilongjiang,154004,China)
出处
《黑龙江医学》
2023年第11期1389-1392,共4页
Heilongjiang Medical Journal
关键词
时机理论
延续性护理
椎体压缩性骨折
经皮椎体后凸成形术术后
照顾者
Timing theory
Continuous nursing
Vertebral compression fracture
Percutaneouskyphoplasty postoperative
Caregiver
