Individual staged nursing on patients with incomplete spinal cord injury

English Keywords:Incomplete spinal cord injury  Spinal fracture  Individual staged nursing

English Abstract:

  【Abstract】 Objectives: To explore the effect of individual staged nursing on incomplete spinal cord injury(ISCI) patients, and to provide reference for clinical nursing work in the future. Methods: 60 patients with ISCI were selected as the samples in our hospital, and all cases were randomly divided into control group and observation group. In the control group, there were 10 females and 20 males, the cases aged from 19 to 57 years old, with an average age of 45.23±6.72. Based on ASIA scale, 9 cases were in grade B, 10 cases in grade C, and 11 cases in grade D. Cervical spinal cord injury occurred in 5 cases, thoracic spinal cord injury was in 10 cases, and lumbar spinal cord injury was in 15 cases. Two groups had no statistical differences with regard to the sex ratio, age, ASIA grade and so on. The observation group was given individual staged nursing, including personalized staged psychological rehabilitation, functional exercise, and respiratory tract, intestinal, urinary system management. The control group was given routine nursing practice during hospitalization. Before and after treatment(90d), Zung self-rating depression scale(SDS), rehabilitation effect evaluation form(ISNCSCI-2013), and modified Barthel index scale were used to assess the mental health status, motion perception, and daily living ability. The incidences of complications during treatment in the two groups were compared. Results: The functional rehabilitation scores of two groups showed significant differences before and after the nursing(P<0.05). In the observation group, the SDS score was 61.51±2.3 before treatment and 40.11±2.1 after treatment; in the control group, it was 62.22±2.9 before treatment and 50.50±3.1 after treatment. In the observation group, the motion score was 47.8±10.2 before treatment and 68.4±13.2 after treatment; in the control group, it was 47.4±11.3 before treatment and 60.1±13.5 after treatment. In the observation group, the perception score was 87.2±14.5 before treatment and 102.5±19.3 after treatment; in the control group, it was 88.3±14.7 before treatment and 94.1±18.3 after treatment. In the observation group, the daily living ability score was 55.4±8.7 before treatment and 78.1±9.5 after treatment; in the control group, it was 55.2±9.2 before treatment and 69.6±11.4 after treatment. The mental health , motion perception recovery, and daily living ability of the observation group were better than those of the control group(P<0.05). The incidences of pulmonary infection (6.67%), urinary tract infection (3.33%) and constipation (10%) in the observation group were lower than those (13.33%, 16.17% and 23.33% respectively) in the control group(P<0.05). Conclusions: Individual staged nursing can significantly decrease the occurrence of complications, improving physiological function and psychological rehabilitation.