摘要
目的:结合临床实践经验,探讨渐进式康复训练对促进胸腰椎骨折患者术后康复的效果及对提高患者自护能力的影响。方法:选择2021年10月—2023年2月行手术治疗的胸腰椎骨折患者120例,根据随机数表法分为观察组和对照组,每组60例。对照组采用常规术后护理措施,观察组在对照组基础上给予渐进式康复训练干预,比较两组患者术后康复相关指标,并比较两组患者干预前后的自护能力、关节功能、疼痛评分和胸腰椎功能评分,观察两组患者并发症发生情况。结果:观察组患者首次下床时间、住院时间和骨折愈合时间均明显少于对照组,差异有统计学意义(P<0.05)。干预后观察组患者饮食管理、依从性管理、症状管理、日常生活管理评分和日常活动受限、膀胱功能、主观症状、临床体征评分高于对照组,疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数问卷表(ODI)评分和UBA疼痛行为量表(UBA-PBS)评分及并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:渐进式康复训练可促进胸腰椎骨折患者术后康复,提高患者自护能力,减轻关节疼痛,改善胸腰椎功能,减少并发症发生。
Objective:Combined with clinical experience,the effect of progressive rehabilitation training on promoting postoperative rehabilitation of patients with thoracolumbar fracture and the effect on improving patients'self-care ability were discussed.Methods:A total of 120 patients with thoracolumbar fracture admitted to our hospital from October 2021 to February 2023 were selected,all of whom received surgical treatment.They were divided into observation group and control group according to random number table method.Patients in the control group received routine postoperative nursing measures,and patients in the observation group were given progressive rehabilitation training intervention on this basis.The self-care ability,joint function,pain score and thoracolumbar function score of the two groups were compared before and after the intervention,and the incidence of complications was observed.Results:The first time of getting out of bed,hospital stay and fracture healing time in observation group were significantly less(shorter)than those in control group,with statistical significance(P<0.001).After intervention,the scores of diet management,compliance management,symptom management and daily life management in observation group were higher than those in control group(P<0.05).After intervention,the pain visual analogue scale(VAS)score,oswestry disability index(ODI)score and UBA pain behavior scale(UBA-PBS)score of observation group were lower than those of control group(P<0.05).After intervention,the scores of daily activity limitation,bladder function,subjective symptoms and clinical signs in observation group were higher than those in control group(P<0.05).The complication rate of observation group was significantly lower than that of control group(P<0.05).Conclusion:Progressive rehabilitation training mode can promote postoperative rehabilitation of patients with thoracolumbar fracture,improve patients'self-care ability,reduce joint pain,improve thoracolumbar function and reduce complications.
作者
陈思诗
CHEN Sishi(The Second Hospital Affiliated to South China University,Hengyang 421001,China)
出处
《临床医药实践》
2023年第12期948-952,共5页
Proceeding of Clinical Medicine
关键词
渐进式康复训练
胸腰椎骨折
术后康复
自护能力
progressive rehabilitation training
thoracolumbar fracture
postoperative rehabilitation
self-care ability
