Discussion
depression, fractures, anxiety, pain
ADVERSE REACTIONS, DISEASE, RECURRENCE, DISEASES
Traditional nursing care was the mainstay of previous clinical nursing interventions for patients with spinal fractures. Despite its potential benefits, this model of nursing care has struggled for a long time to meet the expectations of both clinicians and patients. Based on an analysis of my observations based on personal experience and related researches [(1) Unsatisfactory recovery of limb function: While conventional nursing ensures that the basic needs of patients are met, there is not enough attention and effective intervention for the recovery of limb function in patients with spinal fractures, resulting in some patients being unable to fully recovery use of their limbs, thus affecting the quality of life; (2) Insufficient pain control: Patients with spinal fractures often experience severe pain during treatment, and conventional nursing has limited interventions for pain control, often resorting to medications or other specific therapies; (3) Inadequate nutritional support: Patients with spinal fractures need a lot of energy and nutrition during treatment and recovery, and there is a lack of awareness and application of nutritional support in conventional nursing which needs to be addressed; (4) Insufficient attention to psychological aspects: Patients with spinal fractures often face severe psychological stress and negative emotions such as depression and anxiety, during the process of treatment and recovery, and more attention is required to be paid to mental health care in conventional nursing. Therefore, finding a more effective nursing intervention model has become a major clinical challenge for orthopedics [In traditional nursing, nurses divide their work according to specific nursing tasks such as injection, infusion and dispensing of medicine. The quality nursing service carries out the responsibility system, and the nurses carry out the overall responsibility system for the patients through the division of labor in the form of patient package, including basic nursing, treatment and drug administration, rehabilitation guidance, health education, psychological nursing and other nursing work [In terms of the connotation of nursing, the traditional nursing model makes each nurse's care for patients fragmented and focuses on treatment, ignoring the overall care of patients, while high-quality nursing services provide patients with comprehensive, whole-process, seamless overall care, and improve the quality of nursing services [Health empowerment theory-based systematic nursing is a nursing method that addresses individualized needs of patients and enhances their self-management capacity to empower patients, promote recovery, and prevent disease recurrence [In this study, the patients in the observation group received systematic nursing inputs for spinal fractures based on the health empowerment philosophy. As compared with the control group receiving conventional nursing intervention, the patients in the observation group showed significant improvements in their self-care and functional abilities, awareness of the condition, and VAS score after the systematic nursing intervention. The results of this study showed that health empowerment theory-based systematic nursing significantly enhanced awareness of the condition, self-care and functional ability, and significantly relieved pain in patients with spinal fractures, thereby promoting the recovery of health.Probable reasons for our results are as follows: (1) Health empowerment theory-based systematic nursing is based on evaluation and analysis of the individual needs of patients to formulate a personalized nursing plan that addresses the unique situation of each patient to achieve more accurate and effective care; (2) Health empowerment theory-based systematic nursing emphasizes patient involvement and participation, which can improve self-decision-making and self-efficacy by encouraging and supporting patients to participate in self-management and nursing processes, thereby stimulating their enthusiasm; (3) Health empowerment theory-based systematic nursing focuses on prevention, which not only focuses on the current health status of patients, but also pays attention to the prevention of diseases. It helps patients learn correct self-care and preventive measures through education and guidance, so as to reduce the risk of disease-related adverse reactions, and then, promote rapid recovery; (4) Health empowerment theory-based systematic nursing emphasizes comprehensive nursing care, which includes inputs to address physical, psychological, social, and other aspects of patient care to comprehensively improve the health of patients.While this study has some strengths, it also has some limitations, including (but not limited to) the following: (1) the sample size is small and the duration of follow-up is short; (2) there is a lack of specifics regarding the nursing intervention program; (3) there is no evaluation of the level of satisfaction with the interventions; (4) there may be some biases in the selection of participants due to differences in age, gender, education level, and other factors. Overall, this study has some useful findings, and the shortcomings must be addressed in future research in order to increase the reliability and generalizability of the results. To sum up, although this study has achieved some positive results, there are still shortcomings in the study itself. Therefore, future studies should be improved accordingly to improve the reliability and generalization of the study.