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一项基于健康赋权理论的系统护理对脊柱骨折患者自我护理和功能能力影响的随机对照研究。

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures.

机构信息

Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, No. 157 of BaoJian Street, NanGang District, Harbin, 150000, China.

出版信息

J Orthop Surg Res. 2023 Nov 1;18(1):821. doi: 10.1186/s13018-023-04317-z.

Abstract

OBJECTIVE

In this study, we aimed to explore the effectiveness of systematic nursing care based on health empowerment theory on the self-care and functional abilities of patients with spinal fractures.

METHODS

We selected a total of 50 patients with spinal fractures from our hospital and randomly divided them into the control group and the observation group, with 25 patients in each group. Patients in the control group received conventional nursing care, while those in the observation group received systematic nursing care grounded in the health empowerment theory. We recorded and compared the self-care ability, functional ability, knowledge about the condition, and pain scores of patients in the two groups before and after the nursing intervention.

RESULTS

There was no significant difference in the baseline characteristics between the two groups (P > 0.05), and there was no significant difference in self-care ability, functional ability, knowledge about the condition, or the visual analog scale (VAS) score between the two groups before treatment (P > 0.05). After treatment, outcomes in the observation group in terms of self-care ability, functional ability, and knowledge about the condition were significantly better than those in the control group (P < 0.05), while the VAS score in the observation group was significantly lower than that in the control group (P < 0.05).

CONCLUSION

Compared with conventional nursing care, patients with spinal fractures who received systematic nursing inputs based on health empowerment theory reported significant improvements in pain, self-care, functional ability, and knowledge of the condition, and this is an approach that is worthy of promotion in clinical use.

摘要

目的

本研究旨在探讨基于健康赋权理论的系统护理对脊柱骨折患者自我护理和功能能力的影响。

方法

选取我院收治的 50 例脊柱骨折患者,随机分为对照组和观察组,每组 25 例。对照组患者给予常规护理,观察组患者给予基于健康赋权理论的系统护理。记录并比较两组患者护理干预前后的自我护理能力、功能能力、疾病认知和疼痛评分。

结果

两组患者一般资料比较差异无统计学意义(P>0.05),治疗前两组患者自我护理能力、功能能力、疾病认知和视觉模拟评分(VAS)比较差异无统计学意义(P>0.05)。观察组患者护理后自我护理能力、功能能力和疾病认知明显优于对照组(P<0.05),VAS 评分明显低于对照组(P<0.05)。

结论

与常规护理相比,基于健康赋权理论的系统护理输入能显著改善脊柱骨折患者的疼痛、自我护理、功能能力和疾病认知,值得临床推广应用。

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[Rehabilitation after Traumatic Fracture of Thoracic and Lumbar Spine].[胸腰椎创伤性骨折后的康复]
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