期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (7) ; 43-45 ; DOI: 10.12208/j.jacn.20250336.

Application effect of diversified rehabilitation nursing combined with narrative nursing in postoperative patients with thoracolumbar osteoporotic fractures undergoing percutaneous kyphoplasty
多元化康复护理联合叙事护理在胸腰椎骨质疏松性骨折经皮椎体后凸成形术术后患者中的应用效果

作者: 袁瑞 *, 周世娜

宁夏医科大学总医院 宁夏银川

*通讯作者: 袁瑞,单位:宁夏医科大学总医院 宁夏银川;

发布时间: 2025-07-26 总浏览量: 26

摘要

目的 探究多元化康复护理联合叙事护理在胸腰椎骨质疏松性骨折经皮椎体后凸成形术(PKP)术后患者中的应用效果。方法 选取2024年1月-2024年12月本院收治的80例PKP术后患者,随机分为对照组(40例,行常规护理)和观察组(40例,采用多元化康复护理联合叙事护理),对比两组患者疼痛缓解情况、康复进度及并发症发生状况。结果 干预后,观察组疼痛视觉模拟评分(VAS)为(2.2±0.7)分,低于对照组的(4.2±1.0)分;康复优良率达85%(34/40),高于对照组的60%(24/40);并发症发生率为7.5%(3/40),低于对照组的22.5%(9/40),差异均具有统计学意义(P<0.05)。结论 多元化康复护理联合叙事护理能有效减轻PKP术后患者疼痛,加快康复进程,降低并发症风险。

关键词: 多元化康复护理;叙事护理;胸腰椎骨质疏松性骨折;经皮椎体后凸成形术

Abstract

Objective To explore the application effect of diversified rehabilitation nursing combined with narrative nursing in patients with thoracolumbar osteoporotic fractures after percutaneous kyphoplasty (PKP).
Methods 80 postoperative PKP patients admitted to our hospital from January 2024 to December 2024 were randomly divided into a control group (40 cases, receiving routine nursing) and an observation group (40 cases, receiving diversified rehabilitation nursing combined with narrative nursing). The pain relief, rehabilitation progress, and incidence of complications were compared between the two groups of patients.
Results After intervention, the visual analogue scale (VAS) of pain in the observation group was (2.2 ± 0.7) points, which was lower than that of the control group (4.2 ± 1.0) points; The excellent and good rehabilitation rate reached 85% (34/40), which was higher than the control group's 60% (24/40); The incidence of complications was 7.5% (3/40), lower than the control group's 22.5% (9/40), and the differences were statistically significant (P<0.05).
Conclusion   Diversified rehabilitation nursing combined with narrative nursing can effectively alleviate the pain of PKP postoperative patients, accelerate the rehabilitation process, and reduce the risk of complications.

Key words: Diversified rehabilitation nursing; Narrative nursing; Osteoporotic fractures of thoracolumbar spine; Percutaneous kyphoplasty

参考文献 References

[1] 吴海燕,江绪银,李启梅,等.叙事护理联合穴位按摩对脑卒中后抑郁患者康复效果的影响[J].西部中医药, 2023, 36(5):134-137.

[2] 秦白俐,李玲,祁丽梅,等.赋能心理护理联合叙事护理对行化学治疗肝癌患者康复效果的影响[J].中西医结合护理(中英文),2024,10(12):178-180.

[3] 苏秀红.多元化康复护理联合叙事护理对产妇产后盆底康复及心理状态的影响[J].中国医药指南,2024,22(36): 57-59.

[4] 孙远娟,王文莉,赵生法.五步式叙事心理护理联合高等强度间歇训练在慢性心力衰竭患者康复护理中的应用观察[J].心理月刊,2024,19(17):175-177.

[5] 闵琴.呼吸康复护理联合叙事护理对老年慢性阻塞性肺疾病患者负面情绪及护理满意度的影响[J].中文科技期刊数据库(全文版)医药卫生,2022(1):5.

[6] 叶君荣,肖爱祥,黄杏笑,等.运用叙事护理联合怀旧疗法护理1例典型老年期偏执型精神分裂症[J].2022(2): 112,118.

[7] 张燕清.加速康复外科理念联合叙事心理管理在剖宫产术后恢复中应用研究[J].基层医学论坛,2024,28(17): 133 -135.

[8] 李文芳,孔令丽,马静,等.叙事护理联合正念减压疗法对军事训练骨折手术后康复效果的影响[J].中国伤残医学, 2024, 32(3):75-77.

引用本文

袁瑞, 周世娜, 多元化康复护理联合叙事护理在胸腰椎骨质疏松性骨折经皮椎体后凸成形术术后患者中的应用效果[J]. 临床护理进展, 2025; 4: (7) : 43-45.