脑肿瘤术后并发症的观察及护理干预

Postoperative complications in 19 cases of brain tumor observation and nursing intervention

目的研究脑肿瘤术后并发症的临床特点及护理干预措施。方法以收治的59例脑肿瘤术后患者为研究对象,对患者进行随机分组,研究组30例,对照组29例。对照组采用常规护理,研究组实施全面护理干预,对两组护理满意度情况及并发症发生情况进行比较分析。结果两组共发生癫痫、尿崩症、消化道出血、感染、颅内出血等术后并发症19例,其中研究组6例,对照组13例。研究组护理满意率为93.3%,对照组护理满意率为75.9%。研究组患者术后并发症发生率明显低于对照组,护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论脑肿瘤术后并发症风险较高,把握脑肿瘤术后并发症临床特点,实施有针对性的护理干预,可有效降低并发症,提高护理满意度。

Objective To investigate the clinical characteristics of brain tumor surgery complica- tions and nursing interventions. Methods From April 2013 to April 2014, 59 brain tumor patients treated in Beijing Tian Tan Hospital were enrolled in this study. Patients were randomly divided into the experimen- tal group （30 patients） and the control group （29 patients）. Control group were treated with conventional care, and the experimental group with the implementation of comprehensive nursing intervention. Satisfac- tion of conditions and complications of the two nursing methods were compared and analyzed. Results Epi- lepsy, diabetes, gastrointestinal bleeding infection, intracranial bleeding complications exsits in both the two groups （totally 19 cases） ,including 6 cases in the experimental group and 13 cases in the control group. In the experimental group, nursing satisfaction rate was 93.3%, control group 75.9%. Postoperative compli- cations occurred in patients with the experimental group was significantly lower than these in the control group, and satisfaction with care was significantly higher than the control group （ P 〈 0. 05 ）. Conclusion Brain tumos have higher risk of complications. Grasping the clinical features of brain tumor complications andthe implementation of targeted nursing intervention can effectively reduce complications and improve nursin~ satisfaction.