姑息治疗原发性和继发性脑肿瘤患者的差异化护理

Treatment of primary and secondary palliative sexual differentiation of the brain tumor patient care

目的 探讨差异化护理在姑息治疗原发性和继发性脑肿瘤患者过程中的护理效果.方法 对我院2008年6月～～2011年6月收治的742例行姑息治疗的原发性和继发性脑肿瘤患者行前瞻性分析,采用随机数字表法将其随机分为对照组和观察组,每组371例.对照组实施基础护理,在此基础上,观察组实施差异化护理.结果对照组的知晓率为77.90％,患者满意度为80.05％,家属满意度为75.47％;观察组的知晓率为97.04％,患者满意度为99.19％,家属满意度为95.42％.两组的知晓率、患者满意度及家属满意度比较均差异有显著统计学意义（P＜0.01）.结论 差异化护理能提高姑息治疗原发性和继发性脑肿瘤患者的生活质量,增进护患间的关系,提高患者及家属的满意度,值得在临床广泛推广.

Objective To detect the efficacy of differentiated nursing in the process of palliative care for the primary and secondary brain tumor patients. Methods Prospectively analyzed the information of the 742 patients with primary and secondary brain tumors between Jun 2008 and Jun 2011. Using a random number table to divided the patients into a control and an observation group, containing 371 cases in each one group. The control group using a basic nursing, while the observation group using a differentiated nursing.Results The awareness rate for the patients in control group was 77.90%, the satisfactory rate for the patient was 80.05%, and the satisfactory rate for the family was 75.47%; the corresponding rate was 97.04%, 99.19% and 95.42% in observation group, respectively. There were significant differences in the patients＇ awareness rate, the patients＇ satisfactory rate and the family＇s satisfactory rate between the two groups （P〈0.01）.Conclus｜on The differentiated nursing in the palliative care of the primary and secondary brain tumor patients could improve the quality of life, increase the nurse-patient relationship and the satisfaction of the patients and the family, so it should be widely spread in the clinical application.