研究鞍区肿瘤术后脑性耗盐综合征的预见性护理干预应用价值  

To Study the Application Value of Predictive Nursing Intervention in Postoperative Brain Salt Depletion Syndrome after Sellar Region Tumor

作　　者：刘红[1] 雷奕[1] LIU Hong;LEI Yi(Department of Neurosurgery,Guangxi Medical University Affiliated Cancer Hospital,Nanning 530021,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西医科大学附属肿瘤医院神经外科,广西南宁530021

出　　处：《中外医疗》2024年第20期157-160,共4页China & Foreign Medical Treatment

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200336)。

摘　　要：目的探究鞍区肿瘤术后脑性耗盐综合征应用预见性护理干预的临床有效性。方法简单随机选取2022年12月—2023年12月广西医科大学附属肿瘤医院收治的60例鞍区肿瘤术后脑性耗盐综合征患者为研究对象,依据随机数字表法分为对照组(传统护理干预)和观察组(预见性护理干预),每组30例。比较两组患者术后尿崩症和电解质紊乱发生率、护理满意度及生活质量评分。结果观察组术后尿崩症、电解质紊乱发生率均低于对照组,差异有统计学意义(P均<0.05)。观察组护理满意度为93.33%,高于对照组的70.00%,差异有统计学意义(χ^(2)=5.455,P<0.05)。护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论预见性护理干预运用在鞍区肿瘤术后脑性耗盐综合征患者中的效果显著,不仅可以降低患者的并发症发生率,还可以提高患者的满意度。Objective To explore the clinical effectiveness of predictive nursing intervention for cerebral salt-wasting syndrome after surgery for sellar region tumor.Methods A total of 60 patients with cerebral salt wasting syndrome after sellar region tumor surgery admitted to the Guangxi Medical University Affiliated Cancer Hospital from December 2022 to December 2023 were simple randomly selected as the research objects.According to the random number table method,they were divided into the control group(traditional nursing intervention)and the observation group(predictive nursing intervention),with 30 cases in each group.The incidence of diabetes insipidus and electrolyte disturbance,nursing satisfaction and quality of life scores of the two groups were compared.Results The incidence of diabetes insipidus and electrolyte disturbance in the observation group was lower than that in the control group,the differences were statistically significant(both P<0.05).The nursing satisfaction of the observation group was 93.33%,higher than that of the control group 70.00%,and the difference was statistically significant(χ^(2)=5.455,P<0.05).After nursing,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Predictive nursing intervention is effective in patients with cerebral salt consumption syndrome after sellar region tumor surgery,which can not only reduce the incidence of complications,but also improve the satisfaction of patients.

关 键 词：鞍区肿瘤 预见性护理干预 脑性耗盐综合征 满意度 

分 类 号：R47[医药卫生—护理学]