Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture - Report - MDSpire
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Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture
This study demonstrates that comprehensive nursing interventions significantly improve psychological well-being, sleep quality, pain management, and coping mechanisms in patients with concurrent depression and thoracolumbar compression fractures. The findings suggest that addressing psychological needs alongside physical care can lead to better overall outcomes.
Background
Thoracolumbar compression fractures often occur alongside depression, creating a cycle of pain and psychological distress that complicates recovery. Conventional nursing care typically focuses on physical aspects, neglecting the psychological support necessary for this vulnerable population. Understanding and addressing the interplay between physical and mental health is crucial for effective treatment and rehabilitation.
Data Highlights
Outcome
Research Group (n=30)
Control Group (n=30)
P-value
Depression (SDS)
56.83
70.17
<0.001
Anxiety (SAS)
54.30
67.50
<0.001
Sleep Disturbance (PSQI)
7.83
12.47
<0.001
Pain (VAS)
3.17
4.93
<0.001
Positive Coping
21.53
16.07
<0.001
Negative Coping
7.83
11.27
<0.001
Nursing Satisfaction
96.67%
66.67%
0.003
Key Findings
Comprehensive nursing significantly reduced depression scores from 70.17 to 56.83 (p < 0.001).
Anxiety scores decreased from 67.50 to 54.30 in the research group (p < 0.001).
Sleep disturbance scores improved from 12.47 to 7.83 (p < 0.001).
Pain scores decreased from 4.93 to 3.17 (p < 0.001).
Positive coping increased significantly, while negative coping decreased (both p < 0.001).
Nursing satisfaction was markedly higher in the research group at 96.67% compared to 66.67% in the control group (p = 0.003).
Clinical Implications
The findings underscore the importance of integrating psychological support into nursing care for patients with thoracolumbar compression fractures and comorbid depression. Implementing comprehensive nursing strategies can enhance patient outcomes, including psychological well-being, pain management, and overall satisfaction with care.
Conclusion
Comprehensive nursing interventions are effective in improving both psychological and physical outcomes in patients with concurrent depression and thoracolumbar compression fractures. Further research is needed to validate these findings in larger, randomized trials.
Researchers compare personalized versus standard prehabilitation and examine functional, immune, and postoperative outcomes before major elective surgery.
