Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture
A comprehensive nursing intervention including psychological counseling, environmental optimization, individualized pain management, health education, structured rehabilitation, and daily living support significantly reduced depression (SDS: 56.83 vs. 70.17, p<0.001, d=1.64), anxiety (SAS: 54.30 vs. 67.50, p<0.001, d=1.69), sleep disturbance (PSQI: 7.83 vs. 12.47, p<0.001, d=1.70), and pain (VAS: 3.17 vs. 4.93, p<0.001, d=1.50) compared to conventional nursing. Positive coping increased (21.53 vs. 16.07, d=1.35) and negative coping decreased (7.83 vs. 11.27, d=1.36).
This article is automatically generated from the structured evidence profile behind the claim above. Scores reflect the quality and quantity of available research, not clinical advice.
Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture The current body of evidence comprises 1 study. EvidenceHub rates the overall confidence at 48/100 (low).
The Claim
Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture
This conclusion is most relevant to: 60 patients with comorbid depression and thoracolumbar compression fracture at a tertiary center in China.
What the Research Shows
The conclusion draws on 1 linked study. Highlights from the cited literature:
- ▸Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture. (Frontiers in psychiatry, 2026) — A comprehensive nursing intervention including psychological counseling, environmental optimization, individualized pain management, health education, structured rehabilitation, and daily living support significantly reduced depression (SDS: 56.83 vs. 70.17, p<0.001, d=1.64), anxiety (SAS: 54.30 vs. 67.50, p<0.001, d=1.69), sleep disturbance (PSQI: 7.83 vs. 12.47, p<0.001, d=1.70), and pain (VAS: 3.17 vs. 4.93, p<0.001, d=1.50) compared to conventional nursing. Positive coping increased (21.53 vs. 16.07, d=1.35) and negative coping decreased (7.83 vs. 11.27, d=1.36).
How It Works
The proposed biological pathway:
- ▸Psychological counseling reduces emotional distress and maladaptive coping
- ▸Environmental optimization and individualized pain management lower pain perception
- ▸Health education and structured rehabilitation improve functional recovery and self-efficacy
- ▸Result: Reduced depression, anxiety, pain, sleep disturbance, and improved coping
Who Might Benefit
Evidence fit by population:
- ▸60 patients with comorbid depression and thoracolumbar compression fracture at a tertiary center in China
Recommended Dose
N/A
Limitations & Caveats
Important context when interpreting this evidence:
- ▸Non-randomized quasi-experimental design with historical control limits causal inference
- ▸Small sample size (n=60) reduces generalizability and statistical power
Frequently Asked Questions
What specific components were included in the comprehensive nursing intervention?▼
The intervention included psychological counseling, environmental optimization, individualized pain management, health education, structured rehabilitation, and daily living support.
How large were the improvements in sleep quality?▼
Sleep quality improved significantly with a mean PSQI score of 7.83 in the intervention group versus 12.47 in the control group, with a large effect size of d=1.70.
Was the study randomized?▼
No, this was a quasi-experimental study with a non-concurrent historical control group, not a randomized controlled trial.
What population was studied?▼
The study included 60 patients with comorbid depression and thoracolumbar compression fracture at a tertiary hospital in China.
References
- 1.Qi M, Wang W, Zhang M, Zhang H. “Comprehensive nursing intervention improves psychological outcomes, sleep quality, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture..” Frontiers in psychiatry, 2026. PMID: 42389394 DOI: 10.3389/fpsyt.2026.1820844