经鼻蝶入路垂体瘤切除术患者口渴管理标准流程的构建及应用  

Construction and application of the standard process of thirst management for patients undergoing endonasal transsphenoidal surgery for pituitary adenomas

作　　者：江雪莲 刘萍[1] 秦思宜 郭玉萍 李梦楠 Jiang Xuelian;Liu Ping;Qin Siyi;Guo Yuping;Li Mengnan(Neurosurgery Department,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230036,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)神经外科,合肥230036

出　　处：《中华现代护理杂志》2023年第1期57-61,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨经鼻蝶入路手术的垂体瘤患者口渴管理标准流程的构建及实施效果。方法采用便利抽样法,选取2020年6月—2021年10月中国科学技术大学附属第一医院(安徽省立医院)神经外科收治的160例行经鼻蝶入路手术的垂体瘤患者为研究对象,采用随机数字表法将患者分为试验组和对照组,各80例。对照组实施常规护理预防术后口渴,试验组构建口渴管理标准流程并根据流程实施口渴预防和干预措施。比较两组患者术后的口渴强度、口渴痛苦程度及静息唾液流率的差异。结果试验组患者术后2、6、24h口渴强度评分均低于对照组,差异有统计学意义(Z值分别为-8.696、-10.008、-4.305;P<0.01);试验组患者术后口渴痛苦程度评分低于对照组,术后6、24h静息唾液流率高于对照组,差异均有统计学意义(Z值分别为-9.488、-4.124、-2.631;P<0.01)。结论实施口渴管理标准流程能够降低垂体瘤手术患者术后口渴强度,改善患者口渴感受,值得临床推广。Objective To explore the construction and application of the standard process of thirst management for patients undergoing endonasal transsphenoidal surgery for pituitary adenomas.Methods From June 2020 to October 2021,160 patients with endonasal transsphenoidal surgery for pituitary adenomas who were admitted to the Neurosurgery Department of the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)were selected by convenience sampling.The patients were randomly divided into test group and control group,80 cases in each group.The control group implemented routine nursing to prevent postoperative thirst,while the test group established a standard process of thirst management and implemented thirst prevention and interventions according to the process.The thirst intensity,thirst pain and resting salivary flow rate between the two groups was compared.Results The thirst intensity scores of patients in the test group at 2,6 and 24 hours after operation were lower than those in the control group,with statistically significant differences(Z=-8.696,-10.008,-4.305;P<0.01).The score of thirst pain in the test group was lower than that in the control group,and the resting salivary flow rate at 6 and 24 hours after operation were higher than those in the control group,with statistically significant differences(Z=-9.488,-4.124,-2.631;P<0.01).Conclusions The standard process of thirst management can reduce the postoperative thirst intensity of patients with pituitary adenomas surgery and improve their thirst feeling,which is worthy of clinical promotion.

关 键 词：垂体肿瘤 神经外科手术 口渴 标准流程 

分 类 号：R473.73[医药卫生—护理学]