The influence of progressive rehabilitation nursing on the postoperative recovery of patients with osteoporotic vertebral compression fractures
渐进性康复护理对骨质疏松性椎体压缩性骨折患者术后恢复的影响

摘要

目的 本研究旨在探究渐进性康复护理模式对骨质疏松性椎体压缩性骨折（OVCF）患者术后康复进程的影响。方法 选取2024年1月至2025年11月在本院接受手术的OVCF患者30例进行研究，并随机划分为对照组15例和观察组15例。对照组实施常规护理，观察组在其基础上采用渐进性康复护理。对比两组术后并发症发生率，及护理前后Oswestry功能障碍指数（ODI）总分、伤椎前缘高度与生活质量综合评定问卷（GQOLI-74）评分。结果 对照组患者在护理干预后的并发症发生率显著高于观察组，P＜0.05；两组患者的ODI总分呈下降的趋势，伤椎前缘高度与GQOLI-74评分均上升，且观察组上述指标改善幅度优于常规组（P＜0.05）。结论 渐进性康复护理可减少OVCF患者术后并发症，促进椎体功能恢复，提升生活质量。

Abstract

Objective This study aims to explore the impact of the progressive rehabilitation nursing model on the postoperative rehabilitation process of patients with osteoporotic vertebral compression fractures (OVCF).
Methods Thirty patients with OVCF who underwent surgery in our hospital from January 2024 to November 2025 were selected for the study and randomly divided into a control group of 15 cases and an observation group of 15 cases. The control group received routine care, while the observation group adopted progressive rehabilitation care on this basis. The incidence of postoperative complications was compared between the two groups, as well as the total score of the Oswestry Disability Index (ODI), the anterior height of the injured vertebrae and the score of the GQOLI-74 Quality of Life Questionnaire before and after nursing.
Results The incidence of complications in the control group after nursing intervention was significantly higher than that in the observation group, P < 0.05; The total ODI scores of the two groups of patients showed a downward trend, while the anterior height of the injured vertebrae and the GQOLI-74 score both increased. Moreover, the improvement range of the above indicators in the observation group was better than that in the conventional group (P < 0.05).
Conclusion   Progressive rehabilitation nursing can reduce postoperative complications in patients with OVCF, promote the recovery of vertebral function, and improve the quality of life.