围术期加速康复外科护理对脑胶质瘤患者并发症的影响  

Effect of perioperative accelerated rehabilitation surgery on complications in patients with glioma

作　　者：刘建荣[1] 王岳娜 李小强[3] 唐小璐[3] 贾明华 杨磊[3] LIU Jian-rong;WANG Yue-na;LI Xiao-qiang;TANG Xiao-lu;JIA Ming-hua;YANG Lei(Department of Nursing,The Second Affiliated Hospital of Xi'an Medical College,Xi'an 710038,China;Central Sterile Supply Department,The Second Affiliated Hospital of Xi'an Medical College,Xi'an 710038,China;Department of Neurology,The Second Affiliated Hospital of Xi'an Medical College,Xi'an 710038,China)

机构地区：[1]西安医学院附属第二医院护理部,西安710038 [2]西安医学院附属第二医院消毒供应室,西安710038 [3]西安医学院附属第二医院经科,西安710038

出　　处：《中国肿瘤临床与康复》2022年第7期883-886,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的 探讨围术期加速康复外科(ERAS)护理对脑胶质瘤患者并发症发生率的影响。方法 选取2018年10月至2020年10月间西安医学院附属第二医院收治的80例脑胶质瘤患者,采用随机数表法分为研究组和对照组,每组40例。研究组患者采用围术期ERAS护理干预,对照组患者采用常规康复护理干预,比较两组患者的护理满意度、并发症发生情况、焦虑抑郁情绪、疼痛评分、引流管拔除时间和住院时间。结果 研究组患者护理满意度为97.5%,对照组为77.5%,差异有统计学意义(P<0.05)。研究组患者并发症发生率为5.0%,对照组为20.0%,差异有统计学意义(P<0.05)。护理前,两组患者焦虑、抑郁、疼痛评分比较,差异无统计学意义(P>0.05);护理后,两组患者焦虑、抑郁、疼痛评分比较,差异均有统计学意义(均P<0.05)。研究组患者引流管拔除时间和住院时间均短于对照组,差异均有统计学意义(均P<0.05)。结论 脑胶质瘤患者采用围术期ERAS护理干预,可提升护理满意度,缓解焦虑、抑郁、疼痛症状,缩短引流管拔除时间和住院时间,减少术后并发症,建议临床借鉴。Objective To discuss the effect of perioperative accelerate rehabilitation surgery(ERAS) on complications in patients with glioma. Methods Eighty glioma patients treated at The Second Affiliated Hospital of Xi’an Medical College were selected and from October 2018 to October 2020. They were divided into an experimental group and a control group with 40 patients each. The experimental group received ERAS based nursing and the control group received conventional rehabilitation nursing intervention. Patient satisfaction, incidence of complications, anxiety, depression, pain score, time to extubation and length of hospital stay were compared between the two groups. Results Patient satisfaction was 97.5% in the experimental group and 77.5% in the control group(P<0.05). The incidence of complications was 5.0% in the experimental group and 20.0% in the control group(P<0.05). Before nursing, there was no significant difference in anxiety, depression and pain scores between the study group and the control group(P>0.05). After nursing, significant differences in anxiety, depression and pain scores were observed between the two groups(all P<0.05). Time to extubation and length of hospital stay were shorter in the experimental group than in the control group(all P<0.05). Conclusion Perioperative accelerated rehabilitation surgery nursing intervention can significantly improve patient satisfaction with nursing, relieve anxiety, depression and pain symptoms, shorten time to extubation and length of hospital stay, and reduce postoperative complications in patients with glioma. It is deserves clinical recommendation.

关 键 词：围术期 ERAS护理 脑胶质瘤 

分 类 号：R739.41[医药卫生—肿瘤]