基于King达标理论的临床护理路径在骨质疏松性胸腰椎骨折患者MRI检查中的应用

Application of clinical nursing pathway based on King''s theory in MRI examination of patients with osteoporotic thoracolumbar fractures

摘要:

摘要：[目的] 探讨基于King达标理论的临床护理路径在骨质疏松性胸腰椎骨折（OTLF）患者核磁共振成像术（MRI）检查中的应用价值。[方法] 纳入2021年3月—2023年1月201例OTLF患者为研究对象，采用随机数字表法将患者分为对照组（n=100）和观察组（n=101），对照组患者MRI检查时予以常规临床护理路径护理，观察组予以基于King达标理论的临床护理路径护理。比较心理压力、感知控制度、患者检查依从性、应对方式、两组护理不良事件发生率及护理满意度。[结果] 干预后，观察组紧张感、失控感评分低于对照组，修订版控制度量表（CAS-R）评分高于对照组（P<0.05）；干预后，观察组积极应对评分及MRI检查依从性高于对照组，消极应对观察组低于对照组（P<0.05）；护理不良事件总发生率观察组低于对照组（P<0.05）；干预后，观察组护理满意度显著高于对照组（P<0.05）。[结论] 基于King达标理论的临床护理路径应用于OTLF患者MRI检查中能有效降低患者心理压力，提高患者感知控制程度，改变患者应对方式，提高患者检查依从性，降低护理不良事件发生率，进而提高患者护理满意度。

Abstract:

Abstract: [Objective] To explore the application value of clinical nursing path based on King''s theory in MRI examination of patients with osteoporotic thoracolumbar fracture (OTLF). [Methods] 201 patients with OTLF from March, 2021 to January, 2023 were selected as the research object. The patients were randomly divided into control group (n=100) and observation group (n=101). The patients in the control group were given routine clinical nursing path nursing during MRI examination, while the patients in the observation group were given clinical nursing path nursing based on King''s standard theory. Psychological stress, perceived control, patient compliance, coping style, the incidence of nursing adverse events and nursing satisfaction between the two groups were compared. [Results] After the intervention, the scores of tension and out-of-control in the observation group were lower than those in the control group, and the scores of the revised CAS-R were higher than those in the control group (P<0.05). After the intervention, the positive coping score and MRI compliance of the observation group were higher than those of the control group, while the negative coping score of the observation group was lower than that of the control group (P<0.05). The total incidence of nursing adverse events in the observation group was lower than that in the control group (P<0.05). After the intervention, the nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05). [Conclusion] The application of clinical nursing pathway based on King''s compliance theory in MRI examination of OTLF patients can effectively reduce patients'' psychological pressure, improve patients'' perception control, change patients'' coping style, improve patients'' examination compliance, reduce the incidence of nursing adverse events, and then improve patients'' nursing satisfaction.