Discussion on the application of rapid rehabilitation in the nursing treatment of cervical fracturewith anterior cervical surgery
快速康复理念在颈椎前路手术治疗颈椎骨折护理中的应用探讨

摘要

目的 提出快速康复理念护理方案，用于颈椎骨折患者，对应用效果研究。方法 病例是颈椎骨折患者120例，研究时间2020年4月到2022年4月。将60例纳入普通组，进行常规护理。将另60例纳入快速康复理念护理组，进行快速康复理念护理。研究并发症发生率，生活质量量表（WHOQOL-BREF）、焦虑（SAS）、症状改善时间、住院时间、日常生活能力（ADL）评分、临床护理满意率。结果 ①并发症发生率、护理2周后的SAS评分指标，与普通组比较，快速康复理念护理组的均更低（p＜0.05）；②护理2周后的WHOQOL-BREF评分、临床护理满意率、ADL评分指标，与普通组比较，快速康复理念护理组的均更高（p＜0.05）。结论 将快速康复理念护理方案，用于颈椎骨折患者，能够更利于术后快速康复，利于患者预后情况改善，利于预防并发症发生，改善生活质量。

Abstract

Objective To put forward rapid rehabilitation for cervical fracture patients and study the application effect.
Methods The cases were 120 patients with cervical spine fracture, and the study period was from April 2020 to April 2022. Sixty cases were included in the general group for usual care. Another 60 cases were included in the rapid rehabilitation concept nursing group for the rapid rehabilitation concept nursing. The ates of study complications, quality of life scale (WHOQOL-BREF), anxiety (SAS), time to improvement in symptoms, length of hospital stay, ability to daily living (ADL) score, and satisfaction with clinical care.
Results ① complication rate, SAS score after 2 weeks of care, were lower in the general group (p <0.05); WHOQOL-BREF score, clinical satisfaction rate, and ADL score after ② were higher in the group compared with the general group (p <0.05).
Conclusion   The concept of rapid rehabilitation for patients with cervical spine fracture can be more conducive to rapid postoperative rehabilitation, the prognosis of patients, the prevention of complications and the quality of life.