全程护理模式在显微颅内肿瘤手术中的应用  

Application of whole course nursing in microscopic intracranial tumor surgery

作　　者：孙丽[1] 孔慧[1] 薛东方[1] 

机构地区：[1]山东省青岛市市立医院手术室,山东青岛266011

出　　处：《实用临床医药杂志》2017年第16期46-49,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨显微颅内肿瘤手术中应用全程护理模式的效果与护理体会。方法选取颅内肿瘤患者104例,以随机数字表法分为研究组与对照组各52例。对照组实施常规护理,研究组在对照组基础上实施全程护理干预,比较2组手术时间、住院时间、治疗前1 d与麻醉前心率、血压的变化以及术后并发症情况。结果研究组手术时间与住院时间均短于对照组(P<0.05);麻醉前,研究组心率、收缩压与舒张压均低于对照组(P<0.05);研究组术后并发症发生率为3.85%,低于对照组的17.31%(P<0.05)。结论显微颅内肿瘤手术中应用全程护理模式可有效缩短手术时间与住院时间,保证患者生命体征稳定,降低并发症发生率,值得临床推广应用。Objective To analyze application effect and nursing experience of whole course nursing in microscopic surgery of intracranial tumor. Methods A total of 104 intracranial tumor pa- tients in our hospital were divided into study group （ n = 52） and control group （ n = 52）. The control group used conventional nursing measures, the study group implemented whole nursing intervention. Operation time, length of hospital stay, the changes of heart rate, blood pressure on the first postopera- tive day and before anesthesia, and postoperative complications were compared. Results The opera- tion time and hospital stay in the study group were shorter than that of the control group （ P 〈 0.05 ）. The heart rate, systolic blood pressure and diastolic blood pressure before anesthesia were lower than that in the control group （P 〈0.05 ）. The incidence of postoperative complications was 3.85%, which was lower than 17.31% in the control group （P 〈 0.05 ）. Conclusion The whole nursing model in microscopic intracranial tumors can effectively shorten the operation time and hospitalization time, guarantee the stability of the vital signs, and reduce incidence of complications, so it is suitable for clinical application.

关 键 词：显微手术 颅内肿瘤 全程护理 

分 类 号：R472.3[医药卫生—护理学]