经鼻蝶入路垂体瘤切除术后并发症的临床护理干预  

Clinical Nursing Intervention for Complications after Transsphenoidal Approach for Pituitary Adenoma

作　　者：王婷[1] 李维佳[1] WANG Ting;LI Wei-jia(Department of Neurosurgery,Kunming University of Technology,First People’s Hospital of Yunnan Province,Kunming 650032,China)

机构地区：[1]云南省第一人民医院昆明理工大学附属医院神经外科,云南昆明650032

出　　处：《中国医药指南》2020年第15期231-232,共2页Guide of China Medicine

摘　　要：目的对经鼻蝶入路垂体瘤切除术后并发症的临床护理干预方法及效果进行研究。方法将云南省人民医院神经外科2016年5月至2018年5月接收的90例经鼻蝶入路垂体瘤切除术患者纳入研究对象范畴中,以随机方法对这些患者加以分组,将其分为两组,即观察组与对照组,例数均为45例。针对对照组患者,围绕其手术给予常规护理模式;针对观察组患者,进行常规护理同时,做好对患者术后并发症的预见性护理干预;对两组患者术后并发症发生率及两组患者对护理满意度进行统计与比较。结果经不同模式护理,观察组患者在术后并发症发生率上为8.9%,对照组为26.7%,从术后并发症发生率来看,观察组明显低于对照组(P<0.05)。对患者护理满意度进行调查发现,观察组在护理满意度上为97.8%,对照组在护理满意度上为77.8%,观察组明显高于对照组(P<0.05)。结论在经鼻蝶入路垂体瘤切除术护理中,常规护理基础上针对术后并发症给予预见性与针对性护理,不仅能够使患者术后并发症情况得到明显减少,同时在该种护理模式下患者对护理满意度也更高,有助于护患关系改善,值得推广临床应用。Objective To study the clinical nursing intervention methods and effects of complications after transsphenoidal approach for pituitary adenoma.Methods Ninety patients undergoing transsphenoidal approach for pituitary adenoma resection were enrolled in the Neurosurgery of People’s Hospital from May 2016 to May 1818.The patients were grouped by random method and divided into two groups.The group,that is,the observation group and the control group,the number of cases was 45 cases.For the patients in the control group,the routine nursing mode was given around the operation;for the patients in the observation group,the routine nursing was performed,and the predictive nursing intervention for the postoperative complications was performed;the incidence of postoperative complications in the two groups and two groups Patients were statistically compared and compared with care satisfaction.Results After different modes of care,the incidence of postoperative complications was 8.9%in the observation group and 26.7%in the control group.From the perspective of postoperative complications,the observation group was significantly lower than the control group(P<0.05).A survey of patient care satisfaction found that the observation group was 97.8%in nursing satisfaction,and the control group was 77.8%in nursing satisfaction.The observation group was significantly higher than the control group(P<0.05).Conclusion In the nursing of transsphenoidal approach for pituitary adenoma resection,conventional care based on predictive and targeted care for postoperative complications can not only significantly reduce postoperative complications,but also in this kind of care.Under the model,patients have higher satisfaction with nursing,which helps to improve the relationship between nurses and patients,and it is worth promoting clinical application.

关 键 词：垂体瘤 经鼻蝶入路切除术 并发症 护理干预 

分 类 号：R473.73[医药卫生—护理学]