Xia Yingjie, Wang Jing, Wang Ping
Department of Orthopedics, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Department of Orthopedics, Nantong First People's Hospital, Nantong 226001, Jiangsu Province, China.
Evid Based Complement Alternat Med. 2022 Aug 5;2022:3771144. doi: 10.1155/2022/3771144. eCollection 2022.
The aim of this study is to examine the application value of systematic nursing interventions combined with continuity of care in cases with a spinal fracture complicated with a spinal cord injury and its effect on recovery and satisfaction.
We identified ninety cases with a spinal fracture complicated with a spinal cord injury who were admitted to local hospital from May 2019 to May 2021 as research subjects and assigned them into an experimental group (systematic nursing combined with continuity of care, = 45) and a control group (conventional nursing, = 45) according to their admission order. The level of life of all groups between intervention was evaluated with reference to the Generic Quality of Life Inventory-74 (GQOLI-74) Rating Scale. The Hospital Anxiety and Depression (HAD) scale was used to assess the emotional status of patients before and after intervention. The complication rates, nursing outcomes, nursing satisfaction, and rehabilitation outcomes of all cases were calculated.
The GQOLI-74 score of the experimental group was higher than that of another group ( < 0.05). Lower HAD scores of experimental group were observed than that of another group ( < 0.05). The experimental group obtained remarkably higher nursing effective rates and higher nursing satisfaction than another group ( < 0.05). Rehabilitation outcome of the experimental group outperformed that another group ( < 0.05).
The use of systematic nursing intervention combined with continuity of care for cases with spinal fracture complicated with a spinal cord injury can enhance the nursing effect, effectively relieve cases' psychological pressure, improve patients' level of life and nursing satisfaction, and contribute to the maintenance of a good nurse-patient relationship, which merits clinical promotion.
本研究旨在探讨系统护理干预联合延续性护理在脊柱骨折合并脊髓损伤患者中的应用价值及其对康复和满意度的影响。
选取2019年5月至2021年5月在当地医院收治的90例脊柱骨折合并脊髓损伤患者作为研究对象，按照入院顺序将其分为实验组（系统护理联合延续性护理，n = 45）和对照组（常规护理，n = 45）。参照生活质量综合评定问卷74（GQOLI - 74）评定量表评估所有组干预前后的生活水平。采用医院焦虑抑郁量表（HAD）评估患者干预前后的情绪状态。计算所有病例的并发症发生率、护理效果、护理满意度和康复效果。
实验组的GQOLI - 74评分高于另一组（P < 0.05）。观察到实验组的HAD评分低于另一组（P < 0.05）。实验组的护理有效率和护理满意度显著高于另一组（P < 0.05）。实验组的康复效果优于另一组（P < 0.05）。
对脊柱骨折合并脊髓损伤患者采用系统护理干预联合延续性护理可提高护理效果，有效缓解患者心理压力，提高患者生活水平和护理满意度，有助于维持良好的护患关系，值得临床推广。
