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1、系统护理干预对胸腰椎骨折患者心理状况及并发症的影响潘秀花自贡市第三人民医院骨科四川自贡643020【摘要】目的探讨胸腰椎骨折患者术后实施系统护理干预对心理状况及并发症发生情况的影响.方法选取2012年7月一2014年3月我院收治的胸腰椎骨折患者为研究对象，通过抽签法分为观察组与对照组，每组78例，对照组在术后实施常规护理，观察组在术后给予系统护理干预，观察两组患者干预前后心理状况及术后并发症发生情况.结果两组患者干预前SAS、SDS评分无显著差异(P〉0.05),干预后均有改善，但观察组SAS、SDS评分同对照组比较，
2、均明显较低(P<0.05);观察组术后尿路感染、腹胀、压疮及便秘等并发症发生率同对照组比较，明显较低(P<0.05).结论对于胸腰椎骨折手术治疗患者，在术后给予系统护理干预，能有效改善患者心理状况，减少并发症发生,提高患者舒适度,促进患者康复，值得推广.【关键词】胸腰椎骨折；术后康复；系统护理；心理状况；并发症SystemnursinginterventionofmentalstatusandcomplicationsinpatientswiththoracolumbarfracturesPanXiuHua(Depar
3、tmentoforthopaedicJheThirdPeople&rsquojshospitalofZiGong^SiChuan,643020)【Abstract】objective:tostudytheimplementationofthesystemofnursinginterventiononpostoperativemortalityinpatientswiththoracolumbarfracturespsychologicalconditionandtheimpactofcomplications.Meth
4、ods:July2012—March2014,ourhospitalpatientswiththoracolumbarfracturesastheresearchobGject,throughthedrawmethoddividedintoobservationgroupandcontrolgroup,78casesineachgroup,controlgroupiscarriedoutinconventionalnursing,postGoperativeobservationgroupinthesystemappl
5、icationpostoperativelynursingintervention,observetwogroupsofpatientspsychologicalstatusbeforeandaftertheinterventionandpostoperativecomplications.Results:thetwogroupsbeforeinterventioninpatientswithSASandSDSscorehadnosignificantdifference(P>0.03),andaftertheinte
6、rventionhasimproved,buttheobservationgroupofSAS,SDSscorescomparedtocontrolgroup,weresignificantlylower(P<0.05)；ObGservationgroupofpostoperativeurinarytractinfection,abdominaldistension,bedsoreandincidenceofcomplicationssuchasconstipationcomparedtocontrolgroup,si
7、gnificantlylower(P<0.05).Conclusion:forpatientswiththoracolumbarfracturessurgery,systemapplicationpostoperativelynursinginterventioncaneffectivelyimprovepatientspsychologicalstatus,reducecomplicationsandimprovepatientcomfort,promotepatientsrecovery,isworthpromot
8、ing.【Keywords】Thoracolumbarfractures;Postoperativerehabilitation;Systemsofcare;Psychologicalconditions;Complications【中图分类号】R473.7【文献标识码】B【文章编号】1001—5302(2015)09—0689—
