迷走神经刺激术治疗难治性癫痫的围手术期护理体会

Treated with VNS experience of perioperative nursing of patients with refractory epilepsy

目的:探讨难治性癫痫患者行迷走神经刺激术(VNS)的围手术期的护理措施。方法:回顾性分析21例药物难治性癫痫患者行迷走神经刺激术治疗的围手术期护理措施,主要包括健康教育、术前准备,VNS术后并发症的预防措施和心理护理,并进行术后随访和健康指导。结果:通过围手术期细致、专业的综合护理及健康指导,能够使患者建立自信心,更好地配合手术及术后并发症治疗,有效地克服患者术后相关并发症的恐惧心态,顺利配合治疗使症状迅速缓解和消失。结论:VNS围手术期的心理护理、术后密切的病情观察、精细的护理和出院指导是确保手术效果提高、恐惧心态消失的重要措施。

Objective:To explore the perioperative nursing of patients with refractory epilepsy treated with vagus nerve stimulation and to summarize the nursing experience.Methods:Retrospectivly analyze the nursing measures of 21 patients with drug-refractory epilepsy in our department treated with vagus nerve stimulation,including health education,preoperative preparation,postoperative complications prevention and psychological care,postoperative follow-up and health guidance.Results:Perioperative psychological care,postoperative follow-up condition observation,good nursing and health guidance are able to build patients'confidence so as to be more cooperative in operation and complication thrapy,and effectivly overcome the anxiety of patients.Conslusion:Perioperative psychological care,postoperative follow-up condition observation,good nursing and discharge guidanceare are important measures to ensure the effect of surgery and overcome the anxiety.