摘要
目的 研究在腰椎压缩性骨折的护理中应用保护动机理论的作用。方法 将我院在2021.1月-2022.1月收治的64例腰椎压缩性骨折患者作为研究对象，并采取随机分组的办法，将全体患者分成两组，一组为常规组，接受常规护理，另一组为观察组在常规护理基础上纳入保护动力理论，两组患者例数均为32例，对两组分别护理干预后的住院时间、疼痛评分展开对比。结果 观察组的住院时间短于常规组，P＜0.05；疼痛评分对比，干预前两组无差异，P＞0.05，干预后观察组评分低于常规组，P＜0.05。结论 把保护动机理论用于腰椎压缩性骨折患者护理中，可以改善患者的疼痛情况和生命质量，使患者积极配合治疗，住院时间缩短，值得运用。
关键词： 保护动机理论；腰椎压缩性骨折；护理；应用
Abstract
Objective To study the role of protective motivation theory in the nursing of spinal fracture. Methods 64 patients with spinal fracture treated in our hospital from January 2021 to January 2022 were taken as the research object, and all patients were randomly divided into two groups. One group was the routine group and received routine nursing, and the other group was the observation group. On the basis of routine nursing, the theory of protective motility was included. The number of patients in both groups was 32. The hospitalization time, healing time, detumescence time, muscle strength recovery time Quality of life and pain scores were compared. Results the hospitalization time, muscle strength recovery time, detumescence time and healing time of the observation group were shorter than those of the routine group (P < 0.05); There was no difference in pain score between the two groups before intervention (P > 0.05). After intervention, the score of the observation group was lower than that of the routine group (P < 0.05); The scores of the observation group were higher than those of the routine group (P < 0.05). Conclusion applying the theory of protective motivation to the nursing of patients with spinal fracture will improve the pain and quality of life of patients, shorten the hospitalization time and recovery time of patients, which is worthy of application.
Key words： Protection motivation theory; Spinal fracture; Nursing; Application
参考文献 References
[1] 赵利明．老年骨质疏松性脊柱骨折微创术后再发骨折的影响因素Logistic回归分析[J]．临床医学研究与实践，2018，3（23）：100-101．
[2] 冯飞. 基于保护动机理论的护理干预在出院脊柱骨折患者中的应用[J]. 医疗装备,2021,34(6):133-134.
[3] 葛继荣,王和鸣,郑洪新,罗毅文,王金榜,赵咏芳,万小明,卢敏,何承建,董忠,周红军,李刚,孙善斌,林晓生. 中医药防治原发性骨质疏松症专家共识(2020)[J]. 中国骨质疏松杂志,2020,26(12):1717-1725.
[4] 黄璐,邵红,鲁晓宁. 基于保护动机理论的护理干预在老年骨质疏松脊柱骨折患者护理中的应用效果[J]. 中国伤残医学,2021,29(3):62-63.
[5] 文海昭,梁绛槟,王立,李海啸,曹三利,甄雨晴,潘伟,石少辉. 北京市老年人骨质疏松的危险因素[J]. 中国老年学杂志,2022,42(06):1484-1486.
[6] 刘静,吴文忠,徐道明,朱璐,刘兰英,郭海英,许华宁,李邗峻,田阡陌,石雯,曹雅娜. 传统功法治疗原发性骨质疏松症临床研究进展[J]. 中国骨质疏松杂志,2019,25(12):1817-1820.
[7] 安玉兰,孙晴,郭鑫,李海萍,韩玉瑞,雷慧,李志芳,沈生军. 胸腰椎骨折术后患者恐动症成因的调查及影响因素分析[J]. 中国卫生统计,2021,38(04):581-584
[8] 刘亚丽. 基于保护动机理论的护理干预在老年骨质疏松脊柱骨折患者护理中的应用效果[J]. 临床研究,2021,29(7):165-167.
[9] 朱正美,屠海霞. 保护动机理论在对老年骨质疏松性脊柱骨折患者进行护理中的应用效果分析[J]. 当代医药论丛,2021,19(1):178-180.
[10] 诸葛婷, 刘振华. 保护动机理论护理干预在胸腰椎爆裂型骨折患者术后康复中的应用[J]. 中国当代医药, 2020, 27(12):3.
[11] 汤喜燕, 郑永光, 廖毅. 浅谈"道标"胸腰椎椎体压缩性骨折伤残评定——附5则案例分析[J]. 中国司法鉴定, 2014(5):2.
[12] 李若愚, 陈娟. 保护动机理论在脊柱骨折护理中的应用[J]. 检验医学与临床, 2020.
[13] 根呷她姆. 第二腰椎压缩性骨折的护理[J]. 世界最新医学信息文摘, 2020.
[14] 高长娟. 舒适护理对老年腰椎压缩性骨折术后患者疼痛的影响[J]. 东方食疗与保健, 2016.
[15] 禹慧霞. 腰椎压缩性骨折的护理对策探讨[J]. 世界最新医学信息文摘, 2015.
[16] 张瑞风王希强李玉萍. 单纯性胸腰椎压缩性骨折的辨证施护[J]. 中华现代中西医杂志, 2004.
[17] 杨丽云. 浅谈腰椎压缩性骨折的辨证施护[J]. 河北中西医结合杂志, 1997, 6(1):1.
[18] 张娟. 影响腰椎压缩性骨折患者卧床依从性的因素与护理对策[J]. 蚌埠医学院学报, 2011(07):787-788.