摘要
目的 研究延续护理对腰椎结核患者术后焦虑情绪和生活质量的影响.方法 选取2010年1月至2012年12月187例腰椎结核患者,随机分为对照组93例和研究组94例.对照组按照一般的标准护理流程进行护理,研究组则进行延续性护理.于术后3个月采用焦虑自评量表（SAS）评价患者焦虑等级,采用SF-36调查问卷评价患者生活质量,采用满意度调查表调查患者满意度.结果 研究组患者SAS评分示无焦虑26例、轻度焦虑43例、中度焦虑18例、重度焦虑7例,对照组无焦虑18例、轻度焦虑25例、中度焦虑39例、重度焦虑11例,两组焦虑程度比较差异有统计学意义（Z=-2.948,P＜0.05）.研究组患者SF-36问卷总分为（67.52±18.61）分,对照组为（43.68±12.46）分,差异有统计学意义（t=16.565,P＜0.05）,且在身体健康、心理健康、社会适应各方面研究组得分均高于对照组,差异均有统计学意义（P＜0.05）.研究组患者满意度为86.17％（81/94）,对照组为69.89％ （65/93）,差异有统计学意义（x2 =7.227,P＜0.05）.结论 延续护理可以缓解腰椎结核患者术后的焦虑情绪,提高患者的生活质量.
Objective To evaluate the effect of continued nursing on anxiety and the quality of life in the patients with tuberculosis of lumbar spine.Methods One hundred and eighty-seven patients with tuberculosis of lumbar spine from January 2010 to December 2012 were randomly divided into the control group （n =93） and the experimental group （n =94）.The control group received ordinary standard nursing,and the experimental group received continued nursing.Self-Rating Anxiety Scale （SAS） was used to evaluate two groups＇ anxiety level,MOS 36-item Short Form Health Survey was used to measure their quality of life,and Satisfaction Questionnaire was used to investigate the satisfaction of patients three months after the treatment.Results The experimental group had 26 with no anxiety,43 with mild anxiety,18 with moderate anxiety,and 7 with severe anxiety; the control group had 18 with no anxiety,25 with mild anxiety,39 with moderate anxiety,and 11 with severe anxiety,and the difference was statistically significant （Z =-2.948,P ＜ 0.05）.The total score of quality of life was （67.52 ± 18.61） in the experimental group,and （43.68 ± 12.46） in the control group,and the difference was statistically significant （t =16.565,P ＜ 0.05）.Also,the scores of physical health,psychological health and social adaptation in the experimental group were higher than those of the control group,and the differences were statistically significant （P ＜ 0.05）.The rate of satisfaction of patients was 86.17％ （81/94） in the experimental group,and 69.89％ （65/93） in the control group,and the difference was statistically significant （x2 =7.227,P ＜ 0.05）.Conclusions Continued nursing can help the patients release their anxiety emotion,and improve their quality of life.
出处
《中华现代护理杂志》
2013年第26期3194-3196,共3页
Chinese Journal of Modern Nursing
关键词
结核
脊柱
焦虑
生活质量
延续护理
Tuberculosis, spinal
Anxiety
Quality of life
Continued nursing
