护理风险管理对行立体定向脑电图引导射频热凝毁损术的癫痫患者围手术期并发症及预后的影响  

Effect of nursing risk management on perioperative complications and prognosis of epilepsy patients with stereo-electroencephalography-guided radiofrequency thermocoagulation therapy

作　　者：张满霞 李文亚 周艳艳 ZHANG Manxia;LI Wenya;ZHOU Yanyan(Department of Neurosurgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院神经外科,郑州450052

出　　处：《临床与病理杂志》2022年第12期3084-3090,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探讨应用护理风险管理对行立体定向脑电图(stereo-electroencephalography,SEEG)引导射频热凝毁损术的癫痫患者围手术期并发症及预后的影响。方法:选取2018年10月至2020年9月在郑州大学第一附属医院脑外科接受并施行SEEG引导射频热凝毁损术的100例患者为研究对象。根据随机数字表法分为对照组与观察组,各50例。对照组围手术期采取常规护理管理模式,观察组围手术期在常规护理基础上实施护理风险管理模式。比较两组围手术期护理质量评分、手术时长、术后并发症发生率(手术相关并发症及护理相关并发症)、术后疗效分级(Engel分级评分)及生活质量评分。结果:观察组护理质量评分高于对照组(P<0.05),手术时长短于对照组(P<0.05),手术和护理相关并发症发生率低于对照组(P<0.05)。术后1年,观察组疗效I级比例及生活质量评分明显优于对照组(P<0.05)。结论:对行SEEG引导射频热凝毁损术的癫痫患者围手术期实施护理风险管理能明显减少患者护理相关并发症的发生率,缩短手术时长,提升患者术后疗效和生活质量。Objective:To explore the effect of nursing risk management on perioperative complications and prognosis of patients with epilepsy undergoing stereo-electroencephalography(SEEG)-guided radiofrequency thermocoagulation therapy.Methods:A total of 100 patients receiving SEEG-guided radiofrequency thermocoagulation therapy in the Department of Brain Surgery of First Affiliated Hospital of Zhengzhou University from October 2018 to September 2020 were selected as research objects.According to the random number table method,they were divided into a control group and an observation group,50 cases in each group.The control group received routine nursing management mode during the perioperative period,while the observation group received nursing risk management mode based on routine nursing during the perioperative period.The perioperative nursing quality score,operation duration,intraoperative complications,hospitalization duration,postoperative complication rate(surgery-related complications and nursing-related complications),postoperative efficacy grading(Engel grading score),and quality of life score were compared between the 2 groups.Results:The nursing quality score of the observation group was higher than that of the control group(P<0.05).The operation time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The total incidence of surgery-and nursing-related complications in the 2 groups was lower than that in the control group(P<0.05).One year after the operation,the proportion of grade I efficacy and quality of life score in the observation group were significantly better than those in the control group(P<0.05).Conclusion:Perioperative nursing risk management for epilepsy patients with SEEG-guided radiofrequency thermocoagulation therapy can significantly reduce the incidence of complications,shorten the operation time,and improve postoperative efficacy and quality of life of patients.

关 键 词：护理风险管理 癫痫 立体定向脑电图技术 并发症 预后 

分 类 号：R473.6[医药卫生—护理学]