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心理护理干预对胸腰椎结核合并压缩性骨折患者负性情绪及预后转归的影响 预览

Effect of psychological nursing intervention on negative emotion and prognosis in patients with thoracolumbar tuberculosis complicated with compressive fracture
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摘要 目的探析心理护理干预对胸腰椎结核合并压缩性骨折患者负性情绪及预后转归的影响。方法选取2015年1月至2018年12月期间北京中医药大学孙思邈医院接诊的28例胸腰椎结核合并压缩性骨折患者,采用随机数表法分为对照组和观察组各14例,对照组患者给予常规护理干预,观察组患者在常规护理基础上结合心理护理干预,入组时、出院前1 d评价两组患者的腰椎功能改善情况、生活质量评分、自我效能感评分、社会功能评分和心理状态。结果观察组患者的治疗优良率为78.57%,明显高于对照组的57.14%,差异有统计学意义(P<0.05);出院前1 d,两组患者的生活质量评分均高于入组时,SAS、SDS评分均低于入组时,自我效能感评分均高于入组时,社会功能评分均低于入组时,差异均有统计学意义(P<0.05);出院前1 d,观察组患者的生活质量评分为(89.63±3.25)分,明显高于对照组的(73.12±4.11)分,SAS、SDS得分分别为(35.28±3.21)分、(40.51±2.64)分,明显低于对照组的(43.26±3.56)分、(48.69±1.66)分,自我效能感评分为(22.18±3.60)分,明显高于对照组的(19.57±3.22)分,社会功能评分为(3.96±0.59)分,明显低于对照组的(5.89±0.71)分,差异均有统计学意义(P<0.05)。结论心理护理干预能够明显改善胸腰椎结核合并压缩性骨折患者负性情绪及预后转归,提高了患者社会功能及自我效能感。 Objective To investigate the effect of psychological nursing intervention on negative emotion and prognosis in patients with thoracolumbar tuberculosis complicated with compressive fracture.Methods Twenty-eight patients with thoracolumbar tuberculosis complicated with compressive fracture treated in the Sun Simiao Hospital of Beijing University of Traditional Chinese Medicine from January 2015 to December 2018 were selected and assigned into a control group and an observation group.Patients in the control group(n=14)were given routine nursing intervention,while those in the observation group received psychological nursing intervention based on routine nursing.At baseline and 1 d before discharge,the improvement of lumbar vertebral function,quality of life,self-efficacy,social function,and psychological status were evaluated.Results The excellent and good rate in the observation group was 78.57%(11/14),significantly higher than 57.14%(8/14)in the control group(P<0.05).One day before discharge,life quality scores and self-efficacy scores of patients in both groups were higher than those at baseline;SAS scores,SDS scores,social function scores were lower than those at baseline;all differences were statistically significant(P<0.05).One day before discharge,the quality of life score was 89.63±3.25 in the observation group,significantly higher than 73.12±4.11 in the control group;SAS,SDS scores were 35.28±3.21,40.51±2.64,significantly lower than 43.26±3.56,48.69±1.66 in the control group;self-efficacy score was 22.18±3.60,significantly higher than 19.57±3.22 in the control group;the social function score was 3.96±0.59,significantly lower than 5.89±0.71 of the control group;all the difference was statistically significant(P<0.05).Conclusion Psychological nursing intervention can significantly improve the negative emotions and prognosis of patients with thoracolumbar tuberculosis complicating compressive fracture,and also improve the social function and self-efficacy of patients.
作者 范红丽 宁江兰 FAN Hong-li;NING Jiang-lan(First Department of Orthopaedics and Traumatology,the Sun Simiao Hospital of Beijing University of Traditional Chinese Medicine,Tongchuan 717100,Shaanxi,CHINA;Department of Acupuncture,the Sun Simiao Hospital of Beijing University of Traditional Chinese Medicine,Tongchuan 717100,Shaanxi,CHINA)
出处 《海南医学》 CAS 2019年第18期2442-2445,共4页 Hainan Medical Journal
关键词 心理护理干预 胸腰椎结核 压缩性骨折 负性情绪 预后 转归 Psychological nursing intervention Thoracolumbar tuberculosis Compressive fracture Negative emotions Prognosis Outcome
作者简介 通讯作者:宁江兰,E-mail:494213708@qq.com。
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