Comprehensive nursing intervention improves sleep quality, psychological outcomes, pain, and coping in patients with comorbid depression and thoracolumbar compression fracture
A quasi-experimental study of 60 patients with comorbid depression and thoracolumbar compression fracture found that comprehensive nursing intervention (including psychological counseling, environmental optimization, individualized pain management, health education, structured rehabilitation, and daily living support) significantly improved sleep quality (PSQI: 7.83 vs. 12.47, p<0.001, d=1.70), 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), and pain (VAS: 3.17 vs. 4.93, p<0.001, d=1.50) compared to conventional nursing.
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 sleep quality, psychological outcomes, 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 sleep quality, psychological outcomes, 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
- ▸Individualized pain management decreases pain intensity and related sleep disruption
- ▸Environmental optimization and structured rehabilitation promote physical comfort and activity
- ▸Result: Improved sleep quality, reduced depression and anxiety, better coping, and higher satisfaction
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
- ▸Single-center study in China may not be representative of other populations or settings
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 was the effect on sleep quality?▼
The effect size for sleep quality improvement was very large (Cohen's d = 1.70), with the intervention group scoring 7.83 on the PSQI versus 12.47 in the control group.
Was the study randomized?▼
No, this was a quasi-experimental study using a non-concurrent historical control group, which limits the strength of the conclusions.
What were the main limitations of this study?▼
Key limitations include the non-randomized design, small sample size (n=60), and single-center setting, which reduce generalizability and causal inference.
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