精细化管理对胸腰椎体压缩骨折患者围术期护理质量的影响

目的探讨精细化管理对胸腰椎体压缩骨折患者围术期护理质量的影响。方法选取本院自2012年3月到2014年6月期间收治的80例胸腰椎体压缩骨折患者为研究对象,随机分为观察组和对照组各40例。对照组围手术期采用常规护理,观察组患者围手术期采用精细化管理。比较两组患者术后恢复情况、术后并发症、住院时间、患者及家属的满意度。结果观察组患者护理人员护理质量评分与合格率均高于对照组,差异有统计学意义(P0.05);两组患者术中骨水泥渗漏和脊髓压迫等并发症发生率无统计学差异(P0.05);观察组患者低血压的发生率低于对照组患者,差异有统计学意义(χ2=3.915,P0.05);观察组患者出院时间低于对照组患者,差异有统计学意义(P0.05);观察组患者术后满意度为96.0%,高于对照组患者的84.0%,差异有统计学意义(χ2=5.000,P0.05)。结论实施精细化管理能够提高护理质量及合格率,降低低血压等并发症发生率,缩短住院时间,提高患者及家属满意度。

Effect of meticulous management on perioperative nursing quality in patients with thoracic vertebral compression frac -ture

Objective To explore the effects of meticulous management on perioperative nursing quality in the patients with thoracic vertebral compressive fracture .Methods 80 patients with thoracic vertebral compression frac‐ture in our hospital from March 2012 to June 2014 were selected as the research subjects and randomly divided into the observation group and the control group ,40 cases in each group .The control group adopted the conventional nursing care during perioperative period ,while the observation group was given the perioperative meticulous manage‐ment .The postoperative recovery situation ,complications ,hospitalization time ,satisfaction degree of the patients and their family members were observed .Results The nursing quality score and qualified rates of nurses in the observa‐tion group were higher than those in the control group ,the differences were statistically significant (P < 0 .05) ;the occurrence rates of intraoperative cement leakage and spinal cord compression had no statistical difference between the two groups(P > 0 .05) ;the occurrence rate of hypotension in the observation group was lower than that in the control group (χ2 = 3 .915 ,P< 0 .05) ;the time of discharge from hospital in the observation group was shorter than that in the control group with statistical difference (P< 0 .05) ;the postoperative patient satisfaction in the observa‐tion group was 96 .0% ,which was higher than 84 .0% in the control group ,the difference was statistically signifi‐cance (χ2 = 5 .000 ,P< 0 .05) .Conclusion Implementing the meticulous management can improve the nursing quality and qualified rate ,reduces the incidence rate of hypotension and other complications ,shortens the hospital stay and improves the satisfaction degree of the patients and their family members .