Preventive effect of continuing nursing care on refracture after percutaneous vertebroplasty
WANG Jiaoli1 JIANG Zeying1 HUANG Jie2 ZHANG Shihao2▲
1. Department of Oncology, Shenzhen Hospital of Southern Medical University, Guangdong Province, Shenzhen 518100, China;
2. Orthopedic Center, Shenzhen Hospital of Southern Medical University, Guangdong Province, Shenzhen 518100, China
Abstract：Objective To investigate the preventive effect of continuous nursing care on refracture after percutaneous vertebroplasty. Methods A total of 96 patients with thoracolumbar compression fractures and percutaneous vertebroplasty who were admitted to the Orthopedics Center of Shenzhen Hospital of Southern Medical University from January 2017 to December 2019 were selected as the research objects. According to the order of hospitalization, the patients were divided into continuing care group and control group, with 48 patients in each group. The control group was given dietary guidance and informed of the review time when discharged. The continuous care group was given continuous care on the basis of the above care, and the postoperative pain relief degree, the rate of refracture of adjacent vertebral body, recovery satisfaction and other indicators were compared between the two groups, and the effects of the two groups were compared and analyzed. Results There were no significant difference in visual analog scale (VAS) scores between the two groups at 2 weeks, 1 month and 3 months after surgery (P＞0.05), the VAS score of pain relief in the continuous care group at 1 year after surgery was lower than that in the control group, with statistically significant difference (P＜0.05). There was no significant difference in the rate of refracture at 1, 3 month and 1 year after surgery between the two groups (P＞0.05). There was no significant difference in the recovery satisfaction of patients between the two groups at 1 and 3 months after surgery (P＞0.05). The recovery satisfaction of patients in the continuous care group at 1 year after surgery was higher than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion For thoracolumbar compression fractures in patients with percutaneous vertebral plasty continue nursing service, although can't improve early pain and fractures occur again, but for long-term pain improve, preventing fractures occur again and improve patients satisfaction has significant meaning and reduce the fracture happened again, better prognosis and satisfaction.
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