CAJ | 학술논문

目的：研究延续护理对腰椎结核患者术后焦虑情况和生活质量的影响。方法选取2010~2012年间于本院就诊的187位腰椎结核患者,随机分为两组。对照组93例,按照一般的标准护理流程进行护理,实验组94例,则进行延续性护理。按照SAS量表统计患者的焦虑状态；全部患者于术后3月,发放SF-36调查问卷,比较患者的生活质量。结果实验组患者无焦虑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)。实验组患者的生活质量总分(67.52±18.61)分,对照组(43.68±12.46)分,且在身体、心理、社交各个方面实验组得分均高于对照组( P<0.05)。实验组患者满意率86.17%(81/94),对照组仅69.89%(65/93),差异有统计学意义(χ2=7.227, P<0.05)。结论延续护理改善腰椎结核患者术后的焦虑情绪和生活质量,可以在临床推广使用。
목적：연구연속호리대요추결핵환자술후초필정황화생활질량적영향。방법선취2010~2012년간우본원취진적187위요추결핵환자,수궤분위량조。대조조93례,안조일반적표준호리류정진행호리,실험조94례,칙진행연속성호리。안조SAS량표통계환자적초필상태；전부환자우술후3월,발방SF-36조사문권,비교환자적생활질량。결과실험조환자무초필26례、경도초필43례,중도초필18례、중도초필7례,대조조무초필18례、경도초필25례,중도초필39례、중도초필11례,량조초필정도비교차이유통계학의의(Z=-2.948, P<0.05)。실험조환자적생활질량총분(67.52±18.61)분,대조조(43.68±12.46)분,차재신체、심리、사교각개방면실험조득분균고우대조조( P<0.05)。실험조환자만의솔86.17%(81/94),대조조부69.89%(65/93),차이유통계학의의(χ2=7.227, P<0.05)。결론연속호리개선요추결핵환자술후적초필정서화생활질량,가이재림상추엄사용。
Objective To evaluate the impact of continued nursing for anxiety and quality of life of the pa-tients with tuberculosis of lumbar spine. Methods 187 cases with tuberculosis of lumbar spine in 2010-2012 were ran-domly divided into control and experiment groups. 93 cases in control group were provided with continued nursing ran-domly. 94 cases in experiment group received the ordinary standard nursing. After the treatment, the Self-Rating Anxiety Scale paper was used to test their anxiety level. Three months after the treatment, the 187 patients were given the MOS 36-item Short Form Health Survey paper to measure their quality of life. Results The experiment group had 26 without anxiety, 43 with mild anxiety, 18 with moderate anxiety, 7 with severe anxiety. The control group had 18 without anxie-ty, 25 with mild anxiety, 39 with moderate anxiety, 11 with severe anxiety. There was significant difference in anxiety level. between two groups ( Z=-2. 948 , P<0. 05 ) The total quality of life scores of the experiment group ( 67. 52 ± 18. 61) was higher than that of control group (43. 68±12. 46) . Also, the quality of life scores on physical, psychology and social of the experiment group were higher than those of control group ( P<0. 05 ) . Patient satisfaction rate of the ex-periment group was 86. 17% (81/94) . The rate of the control group was only 69. 89% (65/93) . The difference was statistically significant (χ2=7. 227 , P<0. 05 ) . Conclusion Continued nursing could help the patients release their anxiety emotion, improve their quality of life. Continued nursing should be put in the therapy of tuberculosis of lumbar spine.