目的：探讨同侧椎弓根钉联合复位固定治疗骶髂关节脱位患者的疗效及护理方法。方法：将60例同侧椎弓根钉联合复位固定治疗骶髂关节脱位的患者随机分为循证组和对照组各30例，对照组实施围术期常规护理；循证组在常规护理基础上成立循证护理小组，对患者实施循证护理。比较两组患者治疗有效率、护理满意度、生活质量、恢复时间等情况。结果：循证组治疗有效率高于对照组，但差异无统计学意义（P＞0．05）；循证组护理满意度显著高于对照组（P＜0．05），生活质量评分显著低于对照组（P＜0．05），负重行走时间显著短于对照组（P＜0．05）。结论：循证护理有助于提高患者恢复时间和生活质量，减少并发症，提高护理满意度。%Objective:To investigate the effect of ipsilateral pedicle screw placement combined with reduction fixation and nursing meth -ods in the treatment of patients with sacroiliac joint dislocation .Methods:60 patients who received the treatment were randomly divided into the evidence-based group and the control group (30 cases in each group ) .The routine perioperative nursing care was taken in the control group and the evidence -based nursing care was adopted in the evidence -based group based on the routine nursing care .The effective rate of treatment ,satisfaction rate of nursing care ,the quality of life of the patients and the recovery time were compared between the two groups.Results:The effective rate of treatment was higher in the evidence -based group than the control group ,but the difference between the two groups was not statistically significant ( P>0.05);the satisfaction rate of nursing care was significantly higher in the evidence -based group than the control group (P<0.05);the score of quality of life of the patients was significantly lower in the evidence -based group than the control group (P<0.05);the weight-bearing walking time was significantly shorter in the evidence -based group than the control group (P<0.05).Conclusion:The evidence-based nursing care is helpful to the improvement of patient's life quality and to short-ening the recovery time ,reducing the complications and improving satisfaction rate of nursing care .
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