KTH联合式护理干预在行颅内血肿清除术治疗脑肿瘤术后出血患者中的应用效果  

Application Effect of KTH Combined Nursing Intervention in Intracranial Hematoma Removal for Postoperative Bleeding Patients with Brain Tumors

作　　者：张静 郭东波 李梦方 ZHANG Jing;GUO Dongbo;LI Mengfang(Department of Neurosurgery,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)神经外科,河南郑州450000

出　　处：《临床研究》2023年第7期157-160,共4页Clinical Research

摘　　要：目的观察KTH联合式护理干预在行颅内血肿清除术治疗脑肿瘤术后出血患者中的应用效果。方法选取2020年8月至2022年8月于郑州大学附属肿瘤医院行颅内血肿清除术的70例脑肿瘤术后出血患者,采用随机数字表法将其分为常规组(常规护理干预)、KTH组(KTH联合式护理干预),各35例。比较两组住院时间、住院费用、干预前后疾病知识评分、自我效能感评分及并发症发生情况。结果KTH组住院时间短于常规组,住院费用低于常规组,差异有统计学意义(P<0.05)。干预前两组疾病知识、手术知识、药物知识、饮食知识、并发症预防、康复训练评分及总分比较,差异无统计学意义(P>0.05);干预后KTH组均高于常规组,差异有统计学意义(P<0.05)。干预前两组自我效能感评分比较,差异无统计学意义(P>0.05);干预后KTH组高于常规组,差异有统计学意义(P<0.05)。KTH组并发症发生率低于常规组,差异有统计学意义(P<0.05)。结论KTH联合式护理干预措施可加快行颅内血肿清除术的脑肿瘤术后出血患者的恢复速度,改善其健康知识掌握情况、自我效能,减少并发症。Objective To observe the application effect of KTH combined nursing intervention in intracranial hematoma removal in the treatment of postoperative bleeding patients with brain tumors.Methods A total of 70 patients with hemorrhage after brain tumor surgery who underwent intracranial hematoma removal in the Affiliated Tumor Hospital of Zhengzhou University from August 2020 to August 2022 were selected and divided into the routine group(routine nursing intervention)and the KTH group(KTH combined nursing intervention)with the random number table method,35 cases in each group.The length of stay,hospitalization cost,disease knowledge score,self-efficacy score before and after the intervention,and incidence of complications were compared between the two groups.Results The hospitalization time of the KTH group was shorter than that of the conventional group,and the hospitalization cost was lower than that of the conventional group,the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of disease knowledge,surgery knowledge,drug knowledge,diet knowledge,complication prevention,rehabilitation training,and total score between the two groups(P>0.05).After the intervention,the KTH group was higher than the conventional group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in self-efficacy scores between the two groups(P>0.05).After the intervention,the KTH group was higher than the conventional group,and the difference was statistically significant(P<0.05).The incidence of complications in the KTH group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion KTH combined nursing intervention can accelerate the recovery rate,improve health knowledge,and self-efficacy and reduce complications of patients with brain tumor hemorrhage after removal of intracranial hematoma.

关 键 词：脑肿瘤 继发颅内血肿 颅内血肿清除术 KTH联合式护理 

分 类 号：R473[医药卫生—护理学]