Qian Hong, Zhou Jingfen, Huang Tingmin, Cao Xingye, Zhou Chao, Yang Minjuan, Chen Yan
Department of Orthopaedics, Affiliated Hospital of Jiangnan University Wuxi 214125, Jiangsu Province, China.
Department of Hematology, Affiliated Hospital of Jiangnan University Wuxi 214125, Jiangsu Province, China.
Am J Transl Res. 2021 Apr 15;13(4):2939-2946. eCollection 2021.
To determine the effect of comfort nursing in elderly patients with lumbar vertebral compression fractures (LVCFs).
A total of 194 elderly patients with LVCFs were enrolled, and assigned to two groups based on different nursing intervention methods. Among them, 93 patients were given routine nursing intervention as a control group (CON group), while the rest 101 patients were given comfort nursing as an intervention group (INT group). The visual analog scale (VAS) was adopted to evaluate patients' pain and Japanese Orthopaedic Association score (JOA) to evaluate their dysfunction. In addition, Barthel score was used to evaluate patients' self-care ability, and the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were adopted to score their anxiety and depression. Moreover, the compliance and nursing satisfaction of the two groups were investigated.
After nursing, t VAS, SAS, and SDS scores of both groups declined significantly, and these scores of the INT group declined more notably. After nursing, the JOA and Barthel scores of the two groups increased greatly, and both scores of the INT group were significantly higher than those of the CON group. Additionally, the INT group consumed significantly less analgesic drugs and experienced significantly shorter hospital stay than the CON group. Moreover, according to the survey on nursing compliance and nursing satisfaction, the INT group showed significantly higher nursing compliance and nursing satisfaction than the CON group.
For elderly patients with LVCFs, comfort nursing can effectively relieve their postoperative pain and negative emotion and improve their daily living ability.
探讨舒适护理对老年腰椎压缩性骨折（LVCF）患者的影响。
选取194例老年LVCF患者，根据护理干预方法不同分为两组。其中，93例患者接受常规护理干预作为对照组（CON组），其余101例患者接受舒适护理作为干预组（INT组）。采用视觉模拟评分法（VAS）评估患者疼痛程度，采用日本骨科学会评分（JOA）评估患者功能障碍情况。此外，采用Barthel评分评估患者自理能力，采用自评焦虑量表（SAS）和自评抑郁量表（SDS）对患者焦虑和抑郁情况进行评分。同时，调查两组患者的依从性及护理满意度。
护理后，两组患者的VAS、SAS及SDS评分均显著下降，且INT组下降更明显。护理后，两组患者的JOA及Barthel评分均显著提高，且INT组评分均显著高于CON组。此外，INT组患者镇痛药物用量显著少于CON组，住院时间显著短于CON组。同时，根据护理依从性及护理满意度调查结果，INT组护理依从性及护理满意度均显著高于CON组。
对于老年LVCF患者，舒适护理可有效缓解其术后疼痛及负面情绪，提高其日常生活能力。
