关键词: 腰椎压缩性骨折, 目标导向式, 循序渐进, 护理模式, 老年

Abstract:

Objective　To evaluate the clinical efficacy of the goal-oriented progressive nursing model in the rehabilitation process of elderly patients with vertebral compression fractures, as well as its impact on the quality of life of these patients. Methods　A prospective randomized controlled study was conducted, including 120 elderly patients with lumbar vertebral compression fractures who were treated at Ankang Hospital of Traditional Chinese Medicine from April 2023 to March 2024. They were divided into an observation group and a control group by the random number table method, with 60 cases in each group. The observation group had 28 males and 32 females, with an age of (72.5±6.3) years and a disease duration of (3.2±1.4) months. The control  group had 26 males and 34 females, with an age of (73.1±6.5) years and a disease duration of (3.4±1.5) months. The control group received routine nursing measures, while the observation group was given the additional targeted and stepwise nursing intervention plan on top of the routine measures. Both groups were intervened for 8 weeks. The Visual Analogue Scale (VAS) scores, Activities of Daily Living (ADL) scores, as well as the incidence rates of complications and nursing satisfaction before and after the intervention in the two groups were compared. Statistical methods employed t-test and χ² test. Results　After the intervention, the VAS score of the observation group was lower than that of the control group [(3.1±0.8) points vs. (4.5±1.0) points], and the ADL score was higher than that of the control group [(45.8±5.1) points vs. (38.6±4.8) points], with statistical differences(t=8.526 and 7.843; both P<0.05). The total incidence rate of complications in the observation group was lower than that in the control group [6.7% (4/60) vs. 20.0% (12/60)], and the nursing satisfaction rate was higher [96.7% (58/60) vs. 83.3% (50/60)], with statistical differences were statistically significant (χ²=4.385 and 5.926; both P<0.05). Conclusions　The goal-oriented progressive nursing mode can effectively alleviate the pain of elderly patients with lumbar vertebral compression fractures, enhance their ability to take care of daily life, reduce the incidence of related complications, and increase their satisfaction with the nursing services. It has high clinical promotion value.

Key words: Lumbar compression fracture, Goal-oriented, Progressive procession, Nursing model, Elderly