对颅骨缺损伴脑积水同期手术患者实施预见性护理程序的临床效果及对睡眠影响的分析

Clinical Effect Analysis and Effect on Sleep of Predictive Nursing Program for Patients with Skull Defect and Hydrocephalus in the Same Period of Operation

目的:探究对颅骨缺损伴脑积水同期手术患者实施预见性护理程序的临床效果及对睡眠的影响。方法:选取2015年9月至2017年10月安溪县医院收治的颅骨缺损伴脑积水同期手术患者36例作为此次研究的分析对象,18例患者围手术期开展脑外科常规护理模式,作为对照组,18例患者围手术期在常规护理模式的基础上实施预见性护理,作为观察组,比较2组患者手术治疗效果及护理干预效果。结果:进行脑外科常规护理的对照组患者手术治疗总有效率(72.22%)明显低于实施预见性护理的观察组患者,组间差异有统计学意义(P<0.05);对照组患者平均住院时间为(23.54±3.25)d,平均住院费用(9 864.25±352.65)元,明显高于观察组患者,2组数据差异有统计学意义(P<0.05);对照组患者的PSQI总分为(15.21±3.67),明显高于观察组患者,2组数据差异有统计学意义(P<0.05);观察组患者术后并发症发生率为5.56%,护理满意度为94.44%,均显著优于对照组的22.22%和77.78%,组间差异有统计学意义(P<0.05)。结论:对颅骨缺损伴脑积水同期手术患者实施预见性护理程序进行临床干预,可显著改善患者手术疗效及睡眠质量,降低患者术后并发症发生率,促进患者术后康复。

Objective： To explore the clinical effect and influence on sleep of predictive nursing program for patients with skull defect and hydrocephalus in the same period. Methods： 36 patients with skull defect and hydrocephalus were selected as the analysis object of this study. 18 patients underwent conventional nursing mode of brain surgery during perioperative period. as the control group,18 patients underwent predictive nursing on the basis of conventional nursing mode during perioperative period. as the experimental group,the effects of surgical treatment and nursing intervention were compared between the two groups. Results： the total effective rate（72. 22 %） in the control group was significantly lower than that in the experimental group（P〈0. 05）. The average hospitalization time was（23. 54 ± 3. 25） d and the average hospitalization expense was（9864. 25 ± 352. 65） yuan in the control group,which was significantly higher than that in the experimental group（P〈0. 05）. the total PSQI scores was（15. 21 ± 3. 67） in the control group,which significantly higher than that in the experimental group（P〈0. 05） The incidence of postoperative complications and nursing satisfaction in the experimental group were 5. 56 % and 94. 44 % respectively,which were significantly better than those in the control group（22. 22 % and 77. 78 %,P〈0. 05）. Conclusion： the predictive nursing procedure for patients with skull defect accompanied by hydrocephalus can significantly improve the surgical efficacy and the sleep quality,reduce the incidence of postoperative complications and promote postoperative recovery.