The observation of clinical nursing pathway in aging patients with osteoporotic vertebral compression fracture
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摘要: 目的 观察临床护理路径在老年骨质疏松椎体压缩性骨折(OVCF)行经皮球囊扩张后凸成形术(PKP)患者中的应用效果。 方法 收集温岭市第一人民医院2015年1月—2017年1月收治的100例OVCF行PKP患者,按照随机数字表法均分为2组,每组各50例。对照组予常规护理,研究组在常规护理基础上应用临床护理路径。观察平均住院日、医疗费用、并发症、VAS评分、再次脆性骨折发生率、ODI评分优良率、骨密度T值、自我护理能力、SAS、SDS、生活质量和满意率等。 结果 研究组住院时间[(6.13±1.49)d vs. (11.48±2.76)d]、VAS评分[(2.53±0.46)分 vs. (6.48±1.09)分]、住院费用[(1.66±0.41)万 vs. (2.59±0.87)万]、SDS[(39.17±3.56)分 vs. (50.86±4.92)分]、SAS[(41.27±4.93)分 vs. (52.93±5.67)分]、并发症发生率(0.0% vs. 5.0%)低于对照组;ODI评分优良率(92.0% vs. 62.0%)、骨密度T值[(-2.57±0.53) vs. (-3.18±0.68))、自我护理能力评分[(119.19±5.48)分 vs. (92.62±4.98分)]、满意率(94.0% vs. 68.0%)、生活质量评分[(77.89±8.25)分 vs. (58.06±9.41分)]高于对照组,差异有统计学意义(P<0.05)。 结论 应用临床护理路径可减少OVCF患者行PKP术住院天数、医疗费用、并发症发生率,减轻疼痛、缓解焦虑抑郁,提高自我护理能力和生活质量。Abstract: Objective To observe the application of CNP in OVCF patients with PKP operation. Methods From January 2015 to January 2017, 100 OVCF patients in the first people's hospital of Wenling city were randomly divided into two groups according to the random number table. The two groups were given PKP operation. The control group were given routine nursing treatment, while the study group were treated by CNP. The hospitalization, hospitalization costs, VAS score, complication, brittle fracture incidence during the study period, the excellent rate of ODI score, bone mineral density T value, self-care ability score, SAS, SDS, quality of life score and satisfaction rate were reviewed and compared in the two groups. Results The hospitalization [(6.13±1.49) d vs. (11.48±2.76) d], VAS score [(2.53±0.46) score vs. (6.48±1.09) score], hospitalization costs [(1.66±0.41) ten thousands yuan vs. (2.59±0.87) ten thousands yuan], SDS [(39.17±3.56) score vs. (50.86±4.92) score], SAS [(41.27±4.93) score vs. (52.93±5.67) score], complication (0.0% vs. 5.0%) in the research group were less than those in the control group, the excellent rate of ODI (92.0% vs. 62.0%),T value(-2.57±0.53 vs. -3.18±0.68),self-care ability score[(119.19±5.48) score vs. (92.62±4.98) score], the quality of life scores [(77.89±8.25) score vs. (58.06±9.41) score], satisfaction rate (94.0% vs. 68.0%) in the research group were higher than the control group. The differences were statistically significant (P<0.05). Conclusion The application of CNP in OVCF patients with PKP operation can reduce the hospital stay, hospitalization costs, complications, relieving pain, anxiety and depression, improving self-care ability and life quality.
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Key words:
- Clinical nursing pathways /
- Osteoporosis /
- Vertebral compression fractures
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