医护一体化护理模式对脑胶质瘤患者微创手术预后的影响  

Effect of integrated nursing model on the prognosis of minimally invasive surgery in patients with glioma

作　　者：张和妹[1] 邢增娜[1] 廖薇薇[1] 李斌[1] ZHANG He-mei;XING Zeng-na;LIAO Wei-wei;LI Bin(Department of Neurosurgery,Hainan General Hospital,Haikou 570311,Hainan,CHINA)

机构地区：[1]海南省人民医院神经外科

出　　处：《海南医学》2019年第21期2850-2852,共3页Hainan Medical Journal

基　　金：海南省卫生计生行业科研项目(编号:15A200062)

摘　　要：目的探讨医护一体化护理模式对脑胶质瘤患者微创手术预后的影响。方法选取2016年8月至2017年12月在海南省人民医院神经外科行微创手术的脑胶质瘤患者82例,采用随机数表法随机分为观察组和对照组,每组41例。对照组给予常规术后护理,观察组给予医护一体化护理模式进行术后护理,采用SAS焦虑自评量表比较两组患者入院和出院时的焦虑情况;比较出院后随访6个月两组患者的并发症发生情况;入院时和末次随访时采用世界卫生组织生存质量测定量表(WHOQOL-100)比较两组患者的生存质量。结果观察组患者出院时SAS评分为(48.08±5.31)分,明显低于对照组的(51.24±5.27)分,差异有统计学意义(P<0.05);随访6个月,观察组患者的并发症发生率为36.59%,明显低于对照组的60.98%,WHOQOL-100评分为(63.36±8.22)分,明显高于对照组的(53.77±9.38)分,差异均具有统计学意义(P<0.05)。结论医护一体化护理模式可以明显缓解脑胶质瘤患者微创手术后焦虑情绪,减少术后并发症发生风险,有效提高患者术后生存质量,值得临床借鉴推广。Objective To investigate the effect of integrated nursing model on the prognosis of minimally invasive surgery in patients with glioma.Methods Eighty-two patients with glioma undergoing minimally invasive surgery in Department of Neurosurgery at Hainan General Hospital from August 2016 to December 2017 were selected and randomly divided into the observation group and control group according to random number table,with 41 patients in each group.Patients in the control group received routine postoperative care,while those in the observation group were given integrated nursing model of medical care for postoperative care.The anxiety situation at admission and discharge was evaluated by Self-Rating Anxiety Scale(SAS)and compared between the two groups.The complications of the two groups were compared after 6 months follow-up.The quality of life of the two groups was compared by the World Health Organization Quality of life assessment(WHOQOL-100)at admission and at the last follow-up.Results The SAS score of the observation group was 48.08±5.31,which was significantly lower than 51.24±5.27 of the control group(P<0.05).During the 6-month follow-up,the incidence of complications was 36.59%in the observation group,which was significantly lower than 60.98%of the control group,and the WHOQOL-100 score was 63.36±8.22,which was significantly higher than 53.77±9.38 of the control group,both with statistically significant difference(P<0.05).Conclusion The integrated nursing model of medical care can significantly alleviate anxiety after patients with glioma after minimally invasive surgery,reduce the risk of postoperative complications,and effectively improve the quality of patients'survival after surgery,which is worthy of clinical reference and promotion.

关 键 词：医护一体化护理 脑胶质瘤 微创手术 预后 焦虑 

分 类 号：R473.73[医药卫生—护理学]