开颅手术患者围术期预见性护理的应用分析

Application analysis of foreseeable nursing in perioperative patients with craniotomy

目的研究开颅手术患者采取围术期预见性护理的应用价值。方法选择我院2016年7月~2017年7月收治的120例开颅手术患者,按照随机数字表法分为研究组与对照组各60例,研究组实施预见性护理,对照组实施常规护理,比较两组患者护理效果。结果经过观察两组患者护理效果看出(效果对比),研究组患者心率、收缩压、舒张压以及焦虑评分波动情况均比对照组波动低(t=-6.690,-22.129,-11.189,-14.237,P<0.05);且并发症发生率6.67%比对照组16.67%低(χ~2=4.851,P<0.05);研究组患者对护理工作满意度96.67%,明显比对照组85.00%高(χ~2=8.179,P<0.05);研究组住院时间比对照组低,差别具有统计学意义(t=-8.474,P<0.05)。结论开颅手术患者围术期采取预见性护理效果显著,安全性较高,降低(减少)术前应激反应,缩短治疗时间,提高患者对护理工作满意度,维持良好医患关系。

Objective To study the application value of perioperative foreseeable nursing for patients with eraniotomy. Methods One hundred and twenty eases of craniotomy in our hospital from July 2016 to July 2017 were selected and divided into 60 cases in the study group and the control group according to the random number method.The study group was given foreseeable nursing,the control group was given routine nursing, and the nursing effect of the two groups was compared. Results After observing the nursing effect of the two groups,the fluctuation of heart rate, systolic blood pressure,diastolic blood pressure and anxiety score in the study group was lower than that in the control group （t= -6.690,-22.129,-11.189,-14.237,P 〈 0.05）,and the complication rate was 6.67%,which was lower than 16.67% in the control group （χ^2=4.851,P 〈 0.05）.The satisfaction of the patients in the study group was 96.67%,which was significantly higher than that of the control group （85%） （χ^2=8.179,P 〈 0.05）.The time of hospitalization in the study group was lower than that of the control group,and the difference was statistically significant （t=-8.474, P 〈 0.05）. Conclusion During the perioperative period,the foreseeable nursing effect of craniotomy patients is significant,and the safety is high,the foreseeable nursing interventions can reduce the stress reaction before operation,shorten the time of treatment,improve the patient＇s satisfaction to nursing work,and maintain a good relationship between doctors and patients.