综合急诊护理对骨质疏松致压缩性骨折患者下肢功能及生活质量的影响

摘要

Objective To explore the effect of comprehensive emergency care on the lower limb function and life quality in patients with osteoporotic compression fracture.Methods From May 2014 to May 2016,90 patients with osteoporotic compression fracture treated in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table,with 45 cases in each group.The control group was given the routine emergency care and the observation group was given comprehensive emergency care on the bases of control group.The postoperative activity time,hospitalization time,postoperative pain score,the nursing satisfaction,the lower limb motor function score and the life quality after 1 year follow-up were compared between the two groups.Results The postoperative activity time and the hospitalization time in the observation group were shorter than those of control group,the postoperative pain score was lower than that of control group,with statistically significant differences (P ＜ 0.05).The nursing satisfaction in the observation group (91.11％) was obviously higher than that of control group (71.11％),with statistically significant differences (P ＜ 0.05).After nursing,the scores of lower limb motor function and the life quality in the two groups were higher than those of before nursing,and those in the observation group improved much more remarkably,with statistically significant differences (P ＜ 0.05).Conclusion Comprehensive emergency nursing can effectively improve the postoperative rehabilitation in patients with osteoporotic compression fracture,promote the nursing satisfaction,improve the lower limb motor function and life quality.It is worthy of promotion and application.%目的 探讨综合急诊护理对骨质疏松致压缩性骨折患者下肢功能及生活质量的影响.方法 选择2014年5月～2016年5月在哈尔滨医科大学附属第一医院收治的骨质疏松致压缩性骨折患者90例,采取随机数字表法分为对照组与观察组,每组各45例,对照组给予常规急诊护理,观察组在对照组基础上给予综合急诊护理,比较两组术后活动时间、住院时间、术后疼痛评分、护理满意度及随访1年的下肢运动功能评分及生活质量评分.结果 观察组术后下床活动时间、住院时间短于对照组,术后疼痛评分低于对照组,差异有统计学意义(P＜ 0.05).观察组护理满意度(91.11％)明显高于对照组(71.11％),差异有统计学意义(P＜0.05).两组护理后下肢运动功能评分与生活质量评分均高于护理前,观察组上述评分改善更加显著,差异有统计学意义(P＜0.05).结论 综合急诊护理能够有效改善骨质疏松致压缩性骨折患者术后康复情况,提高护理满意度,促进下肢运动功能恢复,提高生活质量.