加速康复护理清单在胸腰椎骨折患者围手术期的应用效果

目的 探讨加速康复护理清单在胸腰椎骨折患者围手术期中的应用效果。方法 选取2019年6月至2020年1月安徽医科大学第一附属医院60例胸腰椎骨折手术患者为研究对象，按随机数字表法分为对照组与观察组，每组30例。对照组采取常规围手术期护理，观察组在常规护理的基础上按照自行设计的围手术期加速康复护理清单实施护理。比较两组患者疼痛程度、腰椎功能评分、并发症发生率、平均住院时间及护理满意度的差异。结果 两组患者疼痛评分组别×时间存在交互效应（F=4.268，P=0.019），观察组患者术前、术后第1天、第3天疼痛评分均低于对照组（F=8.956，P=0.006），随着住院时间的延长，两组患者的疼痛评分逐渐下降（F=652.492，P<0.001）；两组患者腰椎功能组别×时间存在交互效应（F=17.589，P<0.001），观察组患者术前、术后1周、1个月腰椎功能得分均高于对照组（F=8.956，P=0.006），随着时间的延长，两组患者的腰椎功能得分逐渐上升（F=652.492，P<0.001）。观察组患者住院时间短于对照组，并发症发生率低于对照组，护理满意度高于对照组，差异均有统计学意义（P<0.05）。结论 围手术期应用加速康复护理清单可减轻胸腰椎骨折患者疼痛，减少并发症发生率、缩短住院时间，提高患者护理满意度。

Effect of accelerated rehabilitation nursing list on patients with thoracolumbar fractures during perioperative period

Objective To explore the effect of accelerated rehabilitation nursing list on patients with thoracolumbar fractures during perioperative period. Methods A total of 60 patients with thoracolumbar vertebral fracture in the First Affiliated Hospital of Anhui Medical University were selected from June 2019 to January 2020 and were divided into control group and observation group based on random number table method, with 30 cases in each. The control group took routine perioperative nursing,while the observation group carried out nursing according to the self-designed accelerated rehabilitation nursing list. The pain, lumbar function, complication rate,length of hospitalization and patient satisfaction of two group were compared. Results The group×time of pain scores in two groups had an interactive effect (F=4.268, P=0.019), the pain scores of observation group before operation, on day 1 and day 3 after operation were lower than those of control group (F=8.956, P=0.006), and with the prolongation of hospitalization, pain scores gradually decreased (F=652.492, P<0.001).The groups×time of lumbar spine function in two groups had an interactive effect (F=17.589, P<0.001), the lumbar function of observation group before operation, 1 week and 1 month after operation were higher than those of control group (F=8.956,P=0.006), and with the prolongation of hospitallization,the lumbar function gradually increased (F=652.492, P<0.001). The hospital stay of observation group was shorter than that of control group, the incidence of complications was lower than that of control group, and the patient satisfaction was higher than that of control group,all with statistically significant differences(P<0.05). Conclusions The list of accelerated rehabilitation nursing during the perioperative period can alleviate the pain of thoracolumbar fracture patients, reduce the incidence of complications, shorten the hospital stayand improve patient satisfaction.