路径管理对改善岩斜区脑膜瘤显微手术患者心理状态的效果分析  

Effect of Path Management on Psychological State of Patients Underwent Microsurgicai operation of Petroclival Meningioma

作　　者：胡阳琼[1] 刘跃晖[1] 刘文卓[1] 汤颖[1] 田玉辉[1] 

机构地区：[1]解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2016年第11期2101-2103,共3页Journal of Clinical Research

基　　金：湖南省卫生厅科研基金课题（编号：B2014-064）

摘　　要：【目的】探讨路径管理对岩斜区脑膜瘤显微手术患者心理状态的影响。【方法】选取2013年4月至2016年3月本院收治的岩斜区脑膜瘤显微手术患者102例，随机分为对照组和观察组各51例。对照组按照常规护理模式进行护理，观察组根据临床护珲路径进行护理，两组患者在入院时和出院前，采用抑郁自评量表（SDS）和焦虑自评量表（SAS）进行心理状态评价，并比较两组患者平均住院天数、患者对护理工作满意度情况。【结果】观察组SDS、SAS评分明显低于对照组，住院天数也少于对照组，但满意度却高于对照组，两组比较差异具有统计学意义（P〈0．05）。【结论】采用临床护理路径进行护理缓解了岩斜区脑膜瘤显微手术患者的不良心理反应，缩短了患者住院时间，提高了患者满意度，值得在临床上推广。[Objective]To explore the effect of path management on the psychological state of patients underwent microsurgical operation of petroclival meningioma.[Methods] One hundred and two patients underwent microsurgical operation of petroclival meningioma in our hospital from April 2013 to March 2016 were randomly divided into the control group and the observation group with 51 cases in each. The control group was treated with the routine nursing mode for nursing, while the observation group received the clinical path nursing. The self rating Depression Scale （SDS） and self rating Anxiety Scale （SAS） were used for psychological state evaluation in the two groups of patients at the time of admission and before discharge, and the average length of hospital stay and patients＇ satisfaction with nursing work in the two groups were compared.[Results ] The SDS, SAS score of the observation group were significantly lower than those of the control group, and the hospital stay was also less than that of the control group, but the satisfaction was higher than the control group, the difference between the two groups was statistically significant （ P 〈0.05）.[Conclusions] The application of clinical path nursing management for patients with petroclival meningioma undergoing microsurgical treatment can relieve the adverse psychological reaction , shorten the hospitalization time, improve patient satisfaction, it is worth promoting in clinical practice.

关 键 词：临床路径 脑膜瘤/外科学 脑膜瘤/心理学 显微外科手术 颞骨岩部/外科学 

分 类 号：R739.45[医药卫生—肿瘤]