预见性护理对经鼻蝶入路垂体瘤切除术后患者并发症及睡眠质量的影响

Prognostic Nursing Care for Patients with Postoperative Complications after Transsphenoidal Approach to Pituitary Adenoma Resection and Sleep Quality

目的:探究预见性护理在经鼻蝶入路垂体切除术后患者降低并发症及提高睡眠质量中的效果。方法:选取2016年4月至2018年8月厦门大学附属第一医院进收治的行经鼻蝶入路垂体瘤切除术治疗的患者78例作为研究对象,随机分为对照组和观察组,每组39例。对照组实施常规护理,观察组进行预见性护理。比较2组术后并发症发生率和睡眠情况。结果:观察组并发症发生率(10. 26%)明显低于对照组(30. 77%),差异有统计学意义(P <0. 05);术后观察组睡眠质量各维度评分均明显低于对照组,差异有统计学意义(P <0. 05)。结论:对行经鼻蝶入路垂体瘤切除术治疗者进行预见性护理干预的护理效果良好,可有效降低术后并发症发生率,提高患者的睡眠质量。

Objective: To explore the effect of predictive care in reducing complications and improving sleep quality after transsphenoidal pituitary resection. Methods: A total of 78 patients admitted to the first affiliated hospital of xiamen university from April 2016 to August 2018 and treated with transsphenoidal approach for pituitary adenectomy were selected as research objects,and randomly divided into control group and observation group,with 39 patients in each group.Control group routine nursing,observation group predictive nursing.The incidence of postoperative complications and sleep were compared between the two groups. Results: The incidence of complications in the observation group(10.26%)was significantly lower than that in the control group(30.77%),and the difference was statistically significant( P <0.05).The scores of sleep quality in all dimensions in the observation group were significantly lower than those in the control group,with statistically significant differences( P <0.05). Conclusion: Predictive nursing intervention can effectively reduce the incidence of postoperative complications and improve the sleep quality of patients treated with transsphenoidal pituitary adenoma resection.