短期运动想象疗法护理对脑肿瘤术后患者脑氧饱和度的影响  

Effect of short-term motor imagery therapy nursing intervention on cerebral oxygen saturation in postoperative brain tumor patients

作　　者：王睿 李淑姬 刘佳惠 聂团彪 黄石 周洲 何正文[1] WANG Rui;LI Shuji;LIU Jiahui;NIE Tuanbiao;HUANG Shi;ZHOU Zhou;HE Zhengwen(Hunan Cancer Hospital,Changsha,410031,China)

机构地区：[1]湖南省肿瘤医院,湖南省长沙市410013

出　　处：《护理实践与研究》2023年第5期648-651,共4页Nursing Practice and Research

基　　金：湖南省财政厅2020年省补助卫生健康项目(编号:30299-50502)。

摘　　要：目的探讨在脑肿瘤术后患者护理中实施短期运动想象疗法对患者脑氧饱和度的影响。方法选取2020年7—9月入院行脑肿瘤手术治疗的50例患者为对照组,2020年10—12月入院行脑肿瘤手术治疗的50例患者为观察组。两组均行脑氧饱和度监测,对照组给予常规护理,观察组在对照组的基础上增加运动想象疗法护理。分别于术后第1天、第2天、第3天、第4天与第5天收集两组的脑氧饱和度监测数值(rScO_(2))及Barthel指数评分比较干预效果。结果干预后,两组患者术后Barthel指标随观察时间呈逐渐升高趋势,并且术后第4天起,Barthel得分观察组均高于对照组,时间和组间差异均有统计学意义(P<0.05)。观察组患者左额及右额各时点rScO_(2)指标明显高于对照组,差异均有统计学意义(P<0.05)。结论在脑肿瘤术后患者护理中实施运动想象疗法可有效改善脑肿瘤手术患者的rScO_(2),短期内可改善患者的自理能力。Objective To investigate the effect of short-term motor imagery therapy on patients'cerebral oxygen saturation in the care of postoperative brain tumor patients.Methods 50 patients admitted for brain tumour surgery from July to September 2020 were selected as the control group,50 patients admitted for brain tumour surgery from October to December 2020 were selected as the observation group.In the two groups,cerebral oxygen saturation monitoring was performed.The control group was given conventional care,the observation group was given additional exercise imagery therapy care on the basis of the control group.The cerebral oxygen saturation monitoring(rScO_(2))and Barthel index scores were collected on postoperative 1st,2nd,3rd,4th,5th day respectively to compare the effects of the intervention.Results After the intervention,the postoperative Barthel index tended to increase over time in both groups and was higher in the observation group than in the control group from postoperative 4th day onwards,with statistically significant differences in time and between groups(P<0.05).In the observation group,the rScO_(2) index was significantly higher than the control group at all time points in the left and right frontal areas,the difference was statistically significant(P<0.05).Conclusion The implementation of motor imagery therapy in the care of postoperative brain tumour patients could effectively improve the rScO_(2) of brain tumour surgery patients and improve their self-care ability in the short term.The patients'self-care ability could be improved in the short term.

关 键 词：运动想象疗法 脑肿瘤 脑氧饱和度 生活自理能力 脑血流 

分 类 号：R473.6[医药卫生—护理学]