摘要
Abstract
Objective To explore the application effects of strategy optimization management model based on evidence-based medicine in elderly patients with lumbar compression fractures after surgery.Methods A total of 92 elderly patients with lumbar vertebral compression fracture who underwent percutaneous vertebroplasty(PVP)in Beijing Chaoyang Hospital Affilia-ted to Capital Medical University from July 2020 to April 2022 were enrolled.According to random number table method,they were divided into observation group(46 cases)and control group(46 cases).Both groups received the same general treatment after PVP.In addition,the observation group adopted a strategy optimization management model based on evidence-based med-icine,while the control group adopted a routine nursing model.The early postoperative recovery[assessed by Japanese Ortho-paedic Association(JOA)score,Barthe index(BI)score,visual analogue score(VAS)],disease awareness(health knowl-edge questionnaire score),readiness for discharge[Readiness for Hospital Discharge Scale(RHDS)],quality of discharge guidance[Quality of Discharge Teaching Scale(QDTS)]and complications in the two groups were observed and compared.Results After intervention,the scores of JOA and BI in the observation group were higher than those in the control group(P＜0.05),and VAS score was lower than that in the control group(P＜0.05);the scores of disease awareness(fracture prevention,diet management,complication management,rehabilitation exercise and its total score)were higher than those in the control group(P＜0.05);the scores of RHDS(personal status,adaptability,anticipatory support and its total score)were higher than those in the control group(P＜0.05);the scores of QDTS(actual content obtained,guidance skills and effect and its total score)were higher than those in the control group(P＜0.05).The incidence of pain,fever,abdominal distention and constipation,and total incidence of complications in the observation group(P＜0.05)were lower than those in the control group,but there was no significant difference in the incidence of bone cement leakage and urinary retention between the two groups(P＞0.05).Conclusion The strategy optimization management model based on evidence-based medicine is helpful to the recovery of elderly patients with lumbar vertebral compression fracture after PVP.It can improve disease awareness and readiness for discharge of patients,and reduce the incidence of related complications.关键词
老年/腰椎压缩性骨折/经皮椎体成形术/循证医学/策略优化管理模式/术后康复Key words
elderly/lumbar vertebral compression fracture/percutaneous vertebroplasty/evidence-based medicine/strategy optimization management model/postoperative rehabilitation
