多学科护理照顾模式在脑膜瘤围术期患者护理中的应用  

Multidisciplinary nursing model for perioperative nursing in patients with meningioma

作　　者：张玲[1] 龙芳[2] 张芳钧[3] 王舰[4] 吴雪 高俊丽[5] 陈峥[6] 常晓娟 ZHANG Ling;LONG Fang;ZHANG Fang-jun;WANG Jian;WU Xue;GAO Jun-li;CHEN Zheng;CHANG Xiao-juan(Department of Neurosurgery,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Science and Education,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Nursing,Hanzhong Central Hospital,Hanzhong 723000,China;Operating room,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Rehabilitation,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Neurology,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Psychological Counseling,Hanzhong Central Hospital,Hanzhong 723000,China)

机构地区：[1]陕西省汉中市中心医院神经外科,汉中723000 [2]陕西省汉中市中心医院科教科,汉中723000 [3]陕西省汉中市中心医院护理部,汉中723000 [4]陕西省汉中市中心医院手术室,汉中723000 [5]陕西省汉中市中心医院康复科,汉中723000 [6]陕西省汉中市中心医院神经内科,汉中723000 [7]陕西省汉中市中心医院心理咨询科,汉中723000

出　　处：《中国肿瘤临床与康复》2019年第12期1509-1512,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨多学科护理照顾模式在脑膜瘤围术期患者护理中的应用。方法选取2016年2月至2019年5月间汉中市中心医院收治的行脑膜瘤手术治疗的172例患者为研究对象。根据采用的护理方法不同进行分组,采用多学科护理照顾模式护理干预的86例患者纳入研究组,采用常规护理干预的86例患者纳入对照组。比较两组患者护理后的卡氏(KPS)评分、围术期各项康复指标及术后康复情况;评估多学科护理照顾模式干预对围术期患者的护理价值。结果研究组患者护理后的总有效率为90.7%,高于对照组患者的73.3%,差异有统计学意义(P<0.05)。研究组患者围术期间术后监护室停留时间、住院时间和24h神经功能评分均低于对照组患者,差异均有统计学意义(均P<0.05)。两组患者12h神经功能评分比较,差异无统计学意义(P>0.05)。两组患者术后1、2和3个月的KPS评分均高于术前,差异均有统计学意义(均P<0.05),且研究组术后1、2和3个月的KPS评分均高于对照组,差异均有统计学意义(均P<0.05)。两组患者术后均伴有颅内出血、颅内感染、颅内血肿及发热等症状出现,研究组术后并发症的总发生率低于对照组,差异有统计学意义(P<0.05)。结论多学科护理照顾模式能够有效减少患者围术期的不适症状,促进围术期患者各项康复指标的恢复,降低术后并发症情况,提高其临床疗效。Objective To explore the application of multidisciplinary nursing care model for perioperative nursing in patients with meningioma.Methods A total of 172 patients who underwent surgery for meningiomaat Hanzhong Central Hospital from February 2016 to May 2019 were selected as research subjects.They were divided into a study group and a control group,with 86 patients in each group.The study group implemented multidisciplinary nursing care model for nursing intervention,and the control group received conventional nursing intervention.Karnofsky performance status(KPS)score,perioperative rehabilitation indicators and postoperative rehabilitation of patients were compared under different nursing intervention between the two groups.The value of multidisciplinary nursing intervention was evaluated.Results The overall efficacy rate was 90.7%in the study group which was higher than 73.3%of the control group(P<0.05).Meanwhile,the duration of postoperative care unit stay,length of hospital stay,and neurological function scores at 24 h were lower in the study group than in the control group(all P<0.05).There was no significant difference in the neurological function scores at 12 h between the two groups(P>0.05).The KPS scores were higher at 1,2 and 3 months after the operation than before the operation(all P<0.05).The KPS scores were higher in the study group than in the control group at 1,2 and 3 months after the operation(all P<0.05).Symptoms including intracranial hemorrhage,infection and hematoma and hypothermia occurred in both groups.However,the overall incidence of postoperative complications was lower in the study group than in the control group(P<0.05).Conclusion Multidisciplinary nursing care can effectively reduce the discomfort and symptoms in perioperative period,promote the recovery of various indicators,reduce postoperative complications,and improve the clinical efficacy in patients with meningioma.

关 键 词：脑膜瘤 多学科护理照顾模式 围术期 护理干预 

分 类 号：R739.45[医药卫生—肿瘤]