多学科团队护理模式在显微外科手术治疗听神经瘤患者中的应用效果  

Application effects of multidisciplinary team nursing mode in patients with acoustic neuroma treated by microsurgery

作　　者：穆丽芬 潘延廷 MU Lifen;PAN Yanting(Department of Neurosurgery of Henan Provincial People’s Hospital,Zhengzhou 450000 Henan,China;Operating room of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]河南省人民医院神经外科,河南郑州450000 [2]郑州大学第一附属医院手术室,河南郑州450000

出　　处：《中国民康医学》2023年第22期182-185,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨多学科团队(MDT)护理模式在显微外科手术治疗听神经瘤患者中的应用效果。方法:回顾性分析2020年2月至2023年2月河南省人民医院收治的80例听神经瘤患者的临床资料,根据护理方式不同将患者分为对照组和观察组各40例。两组均实施显微镜下听神经瘤切除术治疗,对照组采用常规护理,观察组在对照组基础上采取MDT护理模式。比较两组护理前后简式心境状态量表(POMS)评分、面神经功能[多伦多面神经评定系统(SFGS)]评分、听神经功能分级及并发症发生率。结果:护理后,观察组POMS评分中的精力评分高于对照组,紧张、疲劳、抑郁、慌乱评分低于对照组,差异均有统计学意义(P<0.05);观察组SFGS评分中的随意运动分和最终分均高于对照组,静态分、联动分均低于对照组,听神经功能分级优于对照组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:MDT护理模式用于显微外科手术治疗的听神经瘤患者可缓解其负面情绪,改善面神经、听神经功能,效果优于常规护理。Objective:To explore application effects of multidisciplinary team(MDT)nursing mode in patients with acoustic neuroma treated by microsurgery.Methods:The clinical data of 80 patients with acoustic neuroma admitted to this hospital from February 2020 to February 2023 were retrospectively analyzed.These patients were divided into control group and observation group according to different nursing methods,40 cases in each group.Both groups were treated with acoustic neuroma resection under microscope.The control group was given routine nursing,while the observation group was given MDT nursing mode on the basis of that of the control group.The profile of mode state(POMS)score,the facial nerve function[Sunnybrook facial grading systems(SFGS)]score,the auditory nerve function classification,and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the energy score in the POMS score of the observation group was higher than that of the control group,the scores of tensions,fatigue,depression and panic were lower than those of the control group,and the differences were statistically significant(P<0.05).The random movement score and the total score of SFGS score in the observation group were higher than those in the control group,the static score and linkage score were lower than those in the control group,the auditory nerve function classification was better than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:MDT nursing mode can alleviate the negative emotions and improve the function of facial nerve and auditory nerve in the patients with acoustic neuroma treated by microsurgery.Moreover,it is superior to the routine nursing.

关 键 词：听神经瘤 多学科团队护理 心理状态 面神经功能 听神经功能 并发症 

分 类 号：R473.73[医药卫生—护理学]