目的 探究聚焦解决模式对腰椎骨质疏松性椎体压缩骨折患者首次下床时间及心理状态的影响。方法 回顾性分析,将2018年3月—2019年3月采取常规护理的56例腰椎骨质疏松性椎体压缩骨折患者临床资料,纳入对照组;将2019年4月—2020年3月采取聚焦解决模式护理的56例患者临床资料,纳入观察组。对比两组患者术后首次下床时间及护理前、出院时心理状态变化。结果 观察组首次下床时间及住院时间均短于对照组,差异有统计学意义（P<0.05）;出院时,两组焦虑、抑郁评分均较护理前降低,且观察组低于对照组,差异有统计学意义（P<0.05）。结论 聚焦解决模式可缩短腰椎骨质疏松性椎体压缩骨折患者首次下床时间及住院时间,改善患者心理状态。

Objective To explore the effect of focused solution mode on the time of first off-bed and psychological state of patients with lumbar osteoporotic vertebral compression fracture. Methods A retrospective analysis was performed on 56 patients with lumbar osteoporotic vertebral compression fracture who received routine nursing from March 2018 to March 2019 （control group） and 56 patients who received focused solution mode nursing from April 2019 to March 2020 （observation group）. The time of getting out of bed for the first time after operation and the changes of psychological state before nursing and at discharge were compared of patients in the two groups. Results The time of first off-bed and hospitalization time of the observation group were shorter than those of the control group （P<0.05）; at discharge, the anxiety and depression scores of both groups were lower than those before nursing, and the observation group showed lower scores than the control group （P<0.05）. Conclusion Focused solution mode can shorten the time of first off-bed and hospitalization time, as well as improve the psychological state of patients with lumbar osteoporotic vertebral compression fracture.