预见性护理干预对颅脑肿瘤患者围手术期压疮的预防效果

Predictive nursing intervention in the prevention of pressure sore in patients with craniocerebral tumor during perioperative period

目的探讨预见性护理应用在颅脑肿瘤手术患者中预防压疮的护理效果及应用价值。方法选择本院行手术的颅脑肿瘤患者82例采取随机数字表法分为观察组和对照组，对照组给予常规护理，观察组开展预见性护理，记录两组压疮护理效果。结果观察组干预后焦虑、抑郁自评量表评分分别为（48．96±3．45）分、（44．16±3．23）分均优于对照组的（53．17±5．24）分、（49．36±4．51）分，组间比较差异有统计学意义（P〈0．05）。观察组压疮发生率为4．88％，压疮发生时间（15．14±2．87）d，生理机能评分（71．96±5．86）分，情感职能评分（78．91±6．44）分；对照组压疮发生率为21．95％，压疮发生时间（10．03±1．36）d，生理机能评分（62．74±3．57）分，情感职能评分（65．19±4．08）分，组间比较差异有统计学意义（P〈0．05）。结论预见性护理应用在颅脑肿瘤手术患者中可以减少压疮发生，提升生活质量，减轻焦虑和抑郁情绪，值得在临床大力推广使用。

Objective To explore the nursing effect and application value of predictive nursing in the prevention of pressure sore in patients with craniocerebral tumor operation. Methods 82 cases of craniocerebral tumor in our hospital were randomly divided into observation group and control group. Control group received routine care, while observation group received predictive care. Recorded pressure sore nursing care effect of two groups. Results After intervention, the scores of anxiety and depression self rating scale in observation group were （48.96±3.45）, （44.16±3.23）, better than （53.17±5.24）, （49.36±4.51） in control group, with statistically significant differences between two groups （P〈0.05）. The incidence of pressure sore in observation group was 4.88%, the time of pressure sore was （15.14±2.87）days, physiological score was （71.96±5.86）, emotional function score was （78.91±6.44）; those in control group were 21.95%, （10.03±1.36）days, （62.74±3.57）, （65.19±4.08） respectively, with statistically significant differences between two groups （P〈0.05）. Conclusion Predictive nursing application in patients with craniocerebral tumor surgery can reduce the incidence of pressure sore, improve the quality of life, reduce anxiety and depression, worthy of clinical promotion.