The effect of gradual rehabilitation nursing intervention on patients with thoracolumbar compression fractures
循序渐进式康复护理对胸腰椎压缩性骨折患者干预的效果

摘要

目的 观察分析对胸腰椎压缩性骨折患者实施循序渐进式康复护理的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例胸腰椎压缩性骨折患者（样本纳入例数：60例；样本纳入时间：2022年5月至2023年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，循序渐进式康复护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（循序渐进式康复护理）实验组护理后的胸腰椎功能评分（主观症状/临床体征/日常活动受限度/膀胱功能）更低，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能）更高，骨代谢指标（骨钙素/降钙素更高，Ⅰ型胶原交联羧基端肽更低）更好，炎症因子水平（肿瘤坏死因子-α/白介素-8/白介素-6）更低，不良反应发生率更低，差异具有统计学意义（P<0.05）。结论 循序渐进式康复护理可以有效促进胸腰椎压缩性骨折患者症状改善，减少不良反应发生率，促进炎症反应缓解，促进恢复，提升生活质量，有较高应用价值。

Abstract

Objective Observation and analysis of the clinical effect and application value of implementing progressive rehabilitation nursing for patients with thoracolumbar compression fractures.
Methods A retrospective study was conducted to select 60 patients with thoracolumbar compression fractures who received treatment in the hospital (sample included: 60 cases; sample included time: May 2022 to May 2023). The patients were randomly divided into control and experimental groups based on ball touch, and the number of observed cases was highly consistent. Implement routine nursing and gradual rehabilitation nursing separately. Collect and analyze nursing outcomes.
Results Compared with the control group (conventional nursing), the experimental group (progressive rehabilitation nursing) had lower thoracolumbar spine function scores (subjective symptoms/clinical signs/daily activity limitations/bladder function), higher quality of life scores (role function/emotional function/cognitive function/social function/physical function), better bone metabolism indicators (higher osteocalcin/calcitonin, lower type I collagen cross-linked carboxyterminal peptide), lower levels of inflammatory factors (tumor necrosis factor - α/interleukin-8/interleukin-6), and lower incidence of adverse reactions after nursing, with statistical significance (P<0.05).
Conclusion   Gradual rehabilitation nursing can effectively promote symptom improvement, reduce the incidence of adverse reactions, alleviate inflammatory reactions, promote recovery, and improve the quality of life in patients with thoracolumbar compression fractures. It has high practical value.