骨质疏松性胸腰椎骨折MRI检查King护理的应用

Application of King nursing in MRI examination of osteoporotic thoracolumbar fracture

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 （osteoporotic thoracolumbar fractures, OTLF） 患者核磁共振成像术 （MRI） 检查中的应用价值。[方法] 随机数字表法将 2021 年 3 月—2023 年 1 月接受 MRI 检查的 201 例 OTLF 患者分为 King 组 （n=101） 和常规组 （n=100），分别予以基于 King 达标理论的临床护理路径与常规临床护理路径护理。比较患者心理压力、感知控制度等指标。[结果] 干预后，King 组 CPSS 评分、消极应对评分均显著低于常规组 （P＜0.05），而 CAS-R 评分、积极应对评分及 MRI 检查依从性均高于常规组 （P＜0.05）；King 组护理不良事件总发生率显著低于常规组 （0% vs 5.0%, P＜0.05），King 组护理满意度高于常规组 [(87.9±9.6) vs (71.4±5.7), P＜0.05]。[结论] 基于 King 达标理论的临床护理路径能有效减轻 OTLF 患者 MRI 检查中的心理压力，提高其感知控制程度及积极应对方式，有利于患者检查依从性、护理满意度提升，护理不良事件降低。

Abstract:

[Objective] To investigate the value of clinical nursing pathway based on the King standard theory in magnetic resonance imaging (MRI) examination of patients with osteoporotic thoracolumbar fracture (OTLF). [Methods] A total of 201 OTLF patients who received MRI examination from March 2021 to January 2023 were divided into King group (n=101) and routine group (n=100) by random number table method, and were respectively provided with clinical nursing pathway and routine clinical nursing pathway based on King standard theory. The indexes of psychological pressure and perceived control were compared. [Results] After intervention, the King group was marked significantly lower CPSS score and negative coping score than the routine group (P＜0.05), while the former got significantly greater CAS-R score, active coping score and MRI compliance score than the latter (P＜0.05). In addition, the King group had significantly lower overall incidence of nursing adverse events than the routine group (0% vs 5.0%, P＜0.05), whereas the former got significantly higher nursing satisfaction score than the latter [(87.9±9.6) vs (71.4±5.7), P＜0.05]. [Conclusion] The clinical nursing pathway based on King standard theory can effectively reduce the psychological pressure of OTLF patients during MRI examination, improve their perceptual control extent and positive coping style, which is conducive to improving patients' examination compliance and nursing satisfaction, and declining nursing adverse events.