[1]曾迎迎,任慧琳△.聚焦解决模式在老年胸腰椎骨折经皮椎体成形术患者护理中的应用[J].西部中医药,2018,31(02):125-127.
 ZENG Yingying,REN Huilin.Application of Solution Focused Approach to the Nursing for Senile Patients with Thoracolumbar Fractures Undergoing Percutaneous Vertebroplasty[J].Western Journal of Traditional Chinese Medicine,2018,31(02):125-127.
点击复制

聚焦解决模式在老年胸腰椎骨折经皮椎体成形术患者护理中的应用()
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年02期
页码:
125-127
栏目:
出版日期:
2018-02-15

文章信息/Info

Title:
Application of Solution Focused Approach to the Nursing for Senile Patients with Thoracolumbar Fractures Undergoing Percutaneous Vertebroplasty
文章编号:
1004-6852(2018)02-0125-03
作者:
曾迎迎任慧琳△
中国人民解放军第一七四医院骨科中心三区,福建 厦门 361003
Author(s):
ZENG Yingying, REN Huilin△
The Third District, Orthopedic Centers, The 174th Hospital of PLA, Xiamen 361003, China
关键词:
骨折胸椎腰椎椎体成形聚焦解决模式生活质量
Keywords:
fracture thoracic vertebra lumbar vertebra vertebroplasty solution focused approach quality of life
分类号:
R683.1
文献标志码:
B
摘要:
目的:探讨聚焦解决模式在老年胸腰椎骨折椎体成形患者护理中的应用效果。方法:将168例患者按就诊顺序随机分为对照组、观察组各84例,对照组给予常规护理,观察组在常规护理基础上给予聚焦解决模式护理。记录2组术后视觉模拟疼痛(VAS)评分,SF-12量表中的生理状态评分(PCS)和心理状态得分(MCS),下床时间,住院时间以及并发症发生情况。结果:VAS、PCS、MCS评分及下床时间和住院时间干预后2组比较,差异均有统计学意义(P<0.05)。并发症发生率观察组为4.8%,对照组为13.1%,2组比较差异有统计学意义(P<0.05)。结论:通过聚焦解决模式进行护理干预,可以更好地减轻老年胸腰椎骨折经皮椎体成形术患者的疼痛程度,缩短下床及住院时间,明显提高老年患者的生活质量。
Abstract:
Objective: To discuss the effects of solution focused approach applied to the care for senile patients with thoracolumbar fractures who underwent percutaneous vertebroplasty (PVP). Methods: All 168 patients were separated into the control group and the observation group according to the visiting order, 84 cases each group, the control group accepted routine care, and the observation group carried out the care of solution focused approach based on routine care. The incidence of the complications, hospitalization time, out-of-bed time, MCS and PCS in SF-12 scales and VAS of both groups were recorded after the operation. Results: The difference had statistical meaning in the comparisons of the scales of VAS, PCS and MCS, hospitalization time and out-of-bed time between both groups after the intervention (P<0.05). The incidene of the complications of the observation group was 4.8%, lower than 13.1% of the control group, and there was a significant difference (P<0.05). Conclusion: Nursing intervention for senile patients with thoracolumbar fractures who underwent PVP by solution focused approach could relieve the pain, shorten hospitalization time and out-of-bed time, and obviously improve quality of life.

相似文献/References:

[1]赵萍.消肿止痛合剂对大鼠骨折愈合中VEGF表达的影响[J].西部中医药,2013,26(11):16.
 ZHAO Ping.Effects of XiaoZhong ZhiTong Mixture on VEGF Expressions of Rats in the Healing Course of Bone Fracture[J].Western Journal of Traditional Chinese Medicine,2013,26(02):16.
[2]辛仲斌.手法复位低温板材塑形固定治疗第一掌骨基底部骨折45例[J].西部中医药,2013,26(08):86.
 XIN Zhongbin.Manipulative Reduction and Fixation with Low-temperature Thermoplastic Splint in Treating 45 Cases of Bone Fracture at the Base of the First Metacarpal[J].Western Journal of Traditional Chinese Medicine,2013,26(02):86.
[3]王浩,李晓飞,何宁,等.中西结合治疗肱骨髁上骨折32例[J].西部中医药,2015,28(08):119.
[4]王燕,石来军△.辨证施护在小儿骨折中的临床应用[J].西部中医药,2015,28(08):162.
[5]刘福善,胡永红,李维洁,等.中医康复对多发肋骨骨折纯钛爪形接骨板内固定术疗效的影响[J].西部中医药,2013,26(06):73.
 LIU Fushan,HU Yonghong,LI Weijie,et al.Effects of Rehabilitation Therapy in the Treatment for Multiple Fractured Ribs Based on Internal Fixation with Claw Plate of Pure Titanium[J].Western Journal of Traditional Chinese Medicine,2013,26(02):73.
[6]王彦斐,王彩文,白会玲.中医护理在骨折术后临床护理中的应用[J].西部中医药,2013,26(06):115.
 WANG Yanfei,WANG Caiwen,BAI Huiling.Application of TCM Nursing to the Patients Undergoing the Surgery of Bone Fracture[J].Western Journal of Traditional Chinese Medicine,2013,26(02):115.
[7]杨萍,尹小慧,陆立芳.骨伤科创伤性疾病术后用七叶皂苷钠治疗的临床护理[J].西部中医药,2012,25(09):108.
 YANG Ping,YIN Xiao-hui,LU Li-fang.Clinical Nursing for Postoperative Patients Suffering from Traumatic Disease of Orthopedics and Traumatology Department Treated with Soditum Aescinate for Injection[J].Western Journal of Traditional Chinese Medicine,2012,25(02):108.
[8]李盛华,张绍文,樊成虎.1 005例胸腰椎骨折住院患者流行病学特征分析[J].西部中医药,2014,27(05):70.
 LI Shenghua,ZHANG Shaowen,FAN Chenghu.Analysis on Epidemiological Features of 1 005 Inpatients with Thoracolumbar Fracture[J].Western Journal of Traditional Chinese Medicine,2014,27(02):70.
[9]郭景仲,王桂丽,指导:郭宪章.手法复位及小夹板固定治疗肱骨外髁翻转移位骨折33例临床观察[J].西部中医药,2013,26(05):93.
 GUO jingzhong,WANG Guili,Director: GUO Xianzhang.Clinical Observation on Manipulative Reduction and Small Splint Immobilization in Treating 33 Cases of Tumbling Displaced Fracture of External Condyle of Humerus[J].Western Journal of Traditional Chinese Medicine,2013,26(02):93.
[10]张绍文,李盛华,樊成虎.中西医结合保守治疗胸腰椎骨折470例临床疗效观察[J].西部中医药,2013,26(05):108.
 ZHANG Shaowen,LI Shenghua,et al.Curative Effects of Conservative Integrative Treatment for 470 Patients suffering from Thoracolumbar Fractures[J].Western Journal of Traditional Chinese Medicine,2013,26(02):108.
[11]徐斌,张华.过伸复位手法在胸腰段骨折内固定术中的应用[J].西部中医药,2012,25(05):66.
 XU Bin,ZHANG Hua.Application of Hyper-extensive Reduction to Internal Fixation of Thoracolumbar Fracture[J].Western Journal of Traditional Chinese Medicine,2012,25(02):66.

备注/Memo

备注/Memo:
收稿日期:2017-08-27 作者简介:曾迎迎(1986—),女,主管护师。研究方向:骨科疾病的临床护理。 通讯作者:任慧琳(1980—),女,主管护师。研究方向:骨科疾病的临床护理。
更新日期/Last Update: 2018-02-15