管道护理风险评估在脑肿瘤外科手术后脑室引流管护理管理中的应用效果  

Application effect of pipeline nursing risk assessment in nursing management of ventricular drainage tube after brain tumor surgery

作　　者：张凤霞[1] 蔡晓娟 韩莎莎 ZHANG Fengxia;CAI Xiaojuan;HAN Shasha(No.5 Surgery Department,Anyang Tumor Hospital,Anyang 455000,China)

机构地区：[1]安阳市肿瘤医院外五科,河南安阳455000

出　　处：《临床医学研究与实践》2024年第11期119-122,共4页Clinical Research and Practice

基　　金：河南省医学科技攻关计划联合共建项目(No.LHGJ20200139)。

摘　　要：目的探究管道护理风险评估在脑肿瘤外科手术后脑室引流管护理管理中的应用效果。方法选取2020年3月至2022年3月在我院外科进行脑肿瘤外科手术后脑室引流手术的86例患者为研究对象,按分层随机化法将其分为对照组与观察组,各43例。对照组采用常规管道护理,观察组在对照组基础上采用管道护理风险评估。比较两组的非计划性拔管发生情况、管道阻塞发生情况、并发症发生情况、疼痛程度及护理满意度。结果观察组的非计划性拔管率及管道阻塞率低于对照组,差异具有统计学意义(P<0.05)。观察组的颅内感染、脑膜炎及出血发生率均低于对照组,差异具有统计学意义(P<0.05)。插管时、插管3 d后,观察组的视觉模拟疼痛量表(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的护理总满意率高于对照组,差异具有统计学意义(P<0.05)。结论管道护理风险评估应用于脑肿瘤外科手术后脑室引流管护理管理中,可以降低非计划性拔管率和管道阻塞率,减轻疼痛,减少并发症,可在临床上进一步推广。Objective To explore the application effect of pipeline nursing risk assessment in nursing management of ventricular drainage tube after brain tumor surgery.Methods A total of 86 patients who underwent ventricular drainage after brain tumor surgery in our hospital from March 2020 to March 2022 were selected as the research objects.According to the stratified randomization method,the patients were divided into control group and observation group,with 43 cases in each group.The control group was treated with routine pipeline nursing,and the observation group was treated with pipeline nursing risk assessment on the basis of the control group.The incidence of unplanned extubation,pipeline obstruction,complications,pain degree and nursing satisfaction were compared between the two groups.Results The unplanned extubation rate and pipeline obstruction rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidences of intracranial infection,meningitis and hemorrhage in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At the time of intubation and 3 d after intubation,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total satisfaction rate of nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The pipeline nursing risk assessment applied in the nursing management of ventricular drainage tube after brain tumor surgery can reduce the unplanned extubation rate and pipeline obstruction rate,relieve pain and reduce complications,which can be further promoted in clinical practice.

关 键 词：管道护理 风险评估 脑肿瘤 脑室引流管 

分 类 号：R473.6[医药卫生—护理学]