Perioperative nursing care for patients with irreducible atlantoaxial dislocation and its influence on prognosis quality

Abstract

Objective To investigate the perioperative nursing care for patients with irreducible atlantoaxial dislocation and the impact on the prognosis quality. Methods 65 patients with irreducible atlantoaxial dislocation who underwent neurosurgery in our hospital from January, 2014 to December, 2018 was retrospectively analyzed. They were divided into an observation groups (n=33) and a control group (n=32) according to the nursing methods. The control group received routine care, and the observation group gave targeted care on this basis, including suitability training, incision observation, and postoperative functional training. The complications of the two groups were compared. The adverse emotions at admission and discharge were evaluated using the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). The prognosis quality of life was assessed using the Concise Quality of Life Assessment (SF-36). Results The incidence of complications in the control group was 12.50%, and that in the observation group 3.03% (P>0.05).The scores of SAS and SDS in the two groups were significantly lower at the time of discharge. The scores of the indicators in the SF-36 scale of the observation group were significantly higher than those of the control group (all P<0.05). Conclusion Targeted nursing care for patients with irreducible atlantoaxial dislocation can relieve their negative emotions, such as anxiety and depression, and improve their prognosis. Key words: Irreducible atlantoaxial dislocation; Perioperative period; Nursing; Prognosis