Intervention effect of holistic nursing intervention based on nursing procedure on patients with thoracolumbar spine fracture after internal fixation

Objective To investigate the effect of holistic nursing on thoracolumbar spine fracture patients after internal fixation based on nursing procedure. Methods A total of 106 patients from January 2015 to December 2017 with traumatic thoracolumbar spine fractures were enrolled as observation objects. According to the random number table method, the patients were accepted with routine nursing (control group, 53 cases) or holistic nursing based on nursing procedure (observation group, 53 cases) after operation respectively. To investigate the healing of incision, the rate of excellent and good treatment, drainage (drainage volume and drainage time), the incidence of complications after operation, and the related indicators after operation (average hospitalization time, fracture healing time, muscle strength recovery time). Results There was significant difference in the time of drainage tube extraction between the two groups (t=4.480, P<0.05). Two weeks after operation, the incisions of both groups were healed. The excellent and good rate was 94.34%(50/53) in the observation group and 81.13%(43/53) in the control group. There was significant difference between the two groups(χ²=4.140, P<0.05). The average hospital stay in the observation group (15.35±2.28 days) was significantly less than that in the control group (23.74±3.60)days, (t=14.334, P<0.05).The complete healing time (8.34 ±1.27)months and muscle strength recovery time (13.05±2.29)months in the observation group were significantly better than those in the control group [(5.12±0.16)months, (3.75±0.43)months], all P<0.05. The incidence of postoperative complications in the observation group was 1.89% (1/53), significantly lower than that in the control group (13.21%, 7/53, χ²= 5.740, P=0.017). Conclusion The holistic nursing intervention based on nursing procedure can effectively guarantee the effect of operation, reduce the incidence of postoperative complications, shorten the hospitalization time of patients with spinal fracture after internal fixation, and promote faster recovery of patients.