Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture - Summary - MDSpire
Advertisement
Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture
To evaluate the effects of a comprehensive nursing intervention on psychological state, sleep quality, pain severity, coping styles, and nursing satisfaction in patients with comorbid depression and thoracolumbar compression fracture, specifically targeting this dual diagnosis.
Key Findings:
Research group showed significantly lower depression scores (56.83 vs. 70.17, p < 0.001, d = 1.64).
Anxiety scores were significantly lower in the research group (54.30 vs. 67.50, p < 0.001, d = 1.69).
Sleep disturbance scores were significantly lower in the research group (7.83 vs. 12.47, p < 0.001, d = 1.70).
Pain scores were significantly lower in the research group (3.17 vs. 4.93, p < 0.001, d = 1.50).
Positive coping was significantly higher in the research group (21.53 vs. 16.07, p < 0.001, d = 1.35) and negative coping was significantly lower (7.83 vs. 11.27, p < 0.001, d = 1.36).
Nursing satisfaction was higher in the research group (96.67% vs. 66.67%, p = 0.003).
Interpretation:
Comprehensive nursing significantly improved psychological status, sleep, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture.
Limitations:
Non-randomized design limits causal inference.
Small sample size may affect the generalizability of the findings.
Conclusion:
Larger prospective randomized trials are needed to confirm these findings and to inform clinical nursing practice for patients with comorbid depression and thoracolumbar compression fractures.
Patients with preoperative vitamin D deficiency had higher postoperative pain scores and opioid use after mastectomy, including more than triple the odds of moderate to severe pain within 24 hours of surgery.
Investigators find that short sleep, insomnia, and night shift work are associated with increased risk of knee and hip osteoarthritis and joint replacement.
