全面护理对脑肿瘤术后并发癫痫患者不良症状及康复的影响

Effect of comprehensive nursing on adverse symptoms and rehabilitation of patients with epilepsy after brain tumor surgery

目的探讨全面护理对于脑肿瘤术后并发癫痫患者不良症状及康复的影响。方法选取2021年1月至2023年2月华中科技大学同济医学院附属同济医院收治的102例脑肿瘤术后并发癫痫的患者为研究对象,按照随机数字表法分为对照组及观察组,各51例。对照组用常规护理,观察组用全面护理。比较2组的脑电图指标、康复效果、心理状态、睡眠质量及不良症状发生情况。结果观察组的术后下床时间早于对照组,总住院时间短于对照组,不良症状总发生率低于对照组(P均<0.05)。与干预前相比,干预1个月和2个月后,2组的脑电图指标(痫样放电、累及导联数),以及焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数(PSQI)评分均优于同组干预前(P均<0.05),且观察组的痫样放电、累及导联数,以及SAS、SDS和PSQI评分均优于同期对照组(P均<0.05)。结论全面护理可改善脑肿瘤术后并发癫痫患者的脑电图指标、睡眠质量及心理状态,降低其不良症状发生率,且其康复效果显著。

Objective To explore the effect of comprehensive nursing on adverse symptoms and rehabilitation of patients with epilepsy after brain tumor surgery.Methods A total of 102 patients with epilepsy after brain tumor surgery admitted to Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from January 2021 to February 2023 were selected as the study subjects.They were divided into a control group and an observation group according to a random number table method,with 51 cases in each group.The control group received routine nursing,and the observation group received comprehensive nursing.The EEG indicator,rehabilitation effect,psychological state,sleep quality and incidence of adverse symptoms were compared between the two groups.Results The time of getting out of bed after operation in the observation group was earlier than that in the control group,the total hospitalization time was shorter than that in the control group,and the total incidence of adverse symptoms was lower than that in the control group(all P<0.05).Compared with before intervention,after 1 month and 2 months of intervention,the EEG indicators(epileptiform discharge,number of involved leads),as well as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)scores of both groups were better than those before intervention(all P<0.05).The epileptiform discharge and number of involved leads,SAS,SDS and PSQI scores of the observation group were all better than those of the control group during the same period(all P<0.05).Conclusion Comprehensive nursing can improve the EEG indicators,sleep quality and psychological state of patients with epilepsy after brain tumor surgery,reduce the incidence of adverse symptoms,and its rehabilitation effect is significant.