摘要
目的:探讨聚焦解决模式在老年胸腰椎骨折椎体成形患者护理中的应用效果。方法:将168例患者按就诊顺序随机分为对照组、观察组各84例,对照组给予常规护理,观察组在常规护理基础上给予聚焦解决模式护理。记录2组术后视觉模拟疼痛(VAS)评分,SF-12量表中的生理状态评分(PCS)和心理状态得分(MCS),下床时间,住院时间以及并发症发生情况。结果:VAS、PCS、MCS评分及下床时间和住院时间干预后2组比较,差异均有统计学意义(P<0.05)。并发症发生率观察组为4.8%,对照组为13.1%,2组比较差异有统计学意义(P<0.05)。结论:通过聚焦解决模式进行护理干预,可以更好地减轻老年胸腰椎骨折经皮椎体成形术患者的疼痛程度,缩短下床及住院时间,明显提高老年患者的生活质量。
Objective: To discuss the effects of solution focused approach applied to the care for senile patients with thoracolumbar fractures who underwent percutaneous vertebroplasty(PVP). Methods: All 168 patients were separated into the control group and the observation group according to the visiting order, 84 cases each group, the control group accepted routine care, and the observation group carried out the care of solution focused approach based on routine care. The incidence of the complications, hospitalization time, out-of-bed time, MCS and PCS in SF-12 scales and VAS of both groups were recorded after the operation. Results: The difference had statistical meaning in the comparisons of the scales of VAS, PCS and MCS, hospitalization time and out-of-bed time between both groups after the intervention(P<0.05). The incidene of the complications of the observation group was 4.8%,lower than 13.1% of the control group, and there was a significant difference(P <0.05). Conclusion: Nursing intervention for senile patients with thoracolumbar fractures who underwent PVP by solution focused approach could relieve the pain, shorten hospitalization time and out-of-bed time, and obviously improve quality of life.
出处
《西部中医药》
2018年第2期125-127,共3页
Western Journal of Traditional Chinese Medicine
关键词
骨折
胸椎
腰椎
椎体成形
聚焦解决模式
生活质量
fracture
thoracic vertebra
lumbar vertebra
vertebroplasty
solution focused approach
quality of life
