脑胶质瘤患者术后康复教学及针对性护理策略的应用效果  

Application effect of postoperative rehabilitation teaching and targeted nursing strategy for glioma patients

作　　者：詹莎莎 李雅微 ZHAN Shasha;LI Yawei(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430000

出　　处：《中西医结合护理(中英文)》2025年第2期9-12,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨康复教学结合针对性护理策略在脑胶质瘤术后患者中的应用效果。方法选择华中科技大学同济医学院附属同济医院于2022年1月至2023年1月接收的100例脑胶质瘤患者为研究对象,均行手术治疗,根据随机数字表法将其分为对照组和观察组,各50例。其中对照组给予术后常规护理措施,观察组术后实施康复教学结合针对性护理策略。比较2组患者的肢体康复效果,脑神经功能康复情况[脑源性神经营养因子(BDNF)、神经元特异性烯醇化酶(NSE)、中枢神经特异蛋白(S100-β)水平],生活质量,以及并发症发生情况。结果术后15 d及术后30 d,观察组的Fugl-Meyer运动功能评分量表上肢和下肢评分、BDNF水平以及生活质量各项得分均明显高于对照组,NSE、S100-β水平均低于对照组(P均<0.05),且2组均较入院第1天更佳(P均<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论对脑胶质瘤术后患者应用康复教学结合针对性护理策略,有助于提高患者的肢体功能、脑神经功能和生活质量,且有助于降低患者的并发症发生率。Objective To explore the application effect of rehabilitation teaching combined with targeted nursing strategy in postoperative patients with glioma.Methods One hundred glioma patients who underwent surgical treatment were enrolled from Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology between January 2022 and January 2023.They were divided into two equal-sized groups by random number table method,each with 50 patients.The control group received routine postoperative nursing measures,while the observation group received postoperative rehabilitation teaching combined with targeted nursing intervention.The limb rehabilitation effect,neurological function recovery(brain-derived neurotrophic factor[BDNF],neuron-specific enolase[NSE],central nervous system specific protein[S100-β]levels),quality of life,and incidence of complications were compared between the two groups.Results On the 15th and 30th days postoperatively,the Fugl-Meyer Assessment scores of upper and lower limbs,BDNF level,and quality of life scores of the observation group were significantly higher than those of the control group,and the NSE and S100-βlevels were lower than those of the control group(P<0.05).Both groups were better in comparison with the 1st day after admission(P<0.05).The total complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion The application of rehabilitation teaching combined with targeted nursing strategy in postoperative patients with glioma is conducive to limb function,neurological function and quality of life,and can help reduce the complications.

关 键 词：脑胶质瘤 术后 康复教学 针对性护理策略 应用效果 

分 类 号：R473.74[医药卫生—护理学]