预见性护理干预在腮腺瘤患者围术期的临床应用效果  

Clinical application effect of predictive nursing intervention in perioperative period of patients with parotid tumor

作　　者：陈如珍[1] 程文芳 叶蓉晖 CHEN Ru-zhen;CHENG Wen-fang;YE Rong-hui

机构地区：[1]梅州市人民医院

出　　处：《护理实践与研究》2019年第13期79-81,共3页Nursing Practice and Research

摘　　要：目的 探讨预见性护理应用于腮腺良性肿瘤手术患者的临床效果。方法 选取2016年6月至2017年8月于我科接受腮腺部分切除加面神经解剖手术的腮腺瘤患者86例为研究对象,随机将其等分为观察组与对照组,对照组给予常规围术期护理干预,观察组在对照组基础上给予预见性护理。比较两组患者术前1d,1h及术后2d时心理状态,围术期基本指标,术后1周内并发症发生率。结果 术后2d两组患者HAMD,HAMA评分明显低于术前1d与术前1h(P<0.05),且观察组下降程度高于对照组(P<0.05)。两组手术时间比较差异无统计学意义(P>0.05),观察组抗生素使用时间、引流时间及住院时间均明显短于对照组(P<0.05)。术后1周内,观察组并发症发生率明显低于对照组(P<0.05)。结论 预见性护理能有效改善腮腺瘤患者围术期心理状态,减少术后并发症发生,有利于其快速康复。Objective To explore the clinical effect of predictive nursing in patients with benign tumors of the parotid. Methods To select 86 patients with parotid tumor who underwent partial sacral resection and facial nerve anatomy in our department from June 2016 to August 2017 were selected as the study subjects. They were randomly divided into observation group and control group with the same number of patients. The control group was given routine perioperative period nursing intervention. On the basis of the control group, the observation group was given predictive nursing. We compared the psychological status of patients at 1 day and 1 hour before the surgery and at 2 hours after the surgery. In addition, we compared the perioperative basic index, and complication rate within 1 week after surgery between the two groups. Results Two days after surgery,the HAMD and HAMA scores of the two groups were significantly lower than those 1 day before surgery and 1 hour before surgery( P <0.05), and the decrease in the observation group was higher than that in the control group( P <0.05). There was no significant statistical difference in the operation time between the two groups( P >0.05). The time of antibiotic use, drainage time and hospitalization time in the observation group were significantly shorter than that in the control group( P <0.05). Within 1 week after surgery, the incidence of complications in the observation group was significantly lower than that in the control group( P <0.05). Conclusion Predictive nursing can improve the perioperative psychological state of patients with parotid tumor effectively. Meanwhile, it can reduce postoperative complications, and facilitate the rapid recovery among the patients.

关 键 词：预见性护理 腮腺瘤 围术期 

分 类 号：R473.73[医药卫生—护理学]