预见性护理对经鼻蝶入路垂体瘤切除术后患者睡眠质量的影响

Effect of Predictive Nursing on Sleep Quality of Patients Undergoing Transsphenoidal Approach For Pituitary Adenoma

目的:探讨在经鼻蝶入路垂体瘤切除术患者中开展预见性护理对睡眠质量的影响。方法:选取2018年9月至2019年9月在平原县第一人民医院神经外科接受治疗的经鼻蝶入路垂体瘤切除术患者60例作为研究对象,随机分为观察组和对照组,每组30例。对照组患者接受基础护理,观察组患者接受预见性护理,观察2组睡眠质量和并发症发生情况。结果:观察组患者睡眠时间(1.3±0.4)分、入睡时间(1.1±0.2)分、睡眠障碍(1.2±0.4)分、睡眠质量评分(1.2±0.3)分,均显著低于对照组的(2.3±0.5)分、入睡时间(2.1±0.4)分、睡眠障碍(2.3±0.5)分、睡眠质量评分(2.4±0.6)分(P<0.05)。观察组患者中高热1例,尿崩症2例,颅内继发性血肿0例,并发症发生率10.0%。对照组患者中高热4例,尿崩症5例,颅内继发性血肿1例,并发症发生率33.3%。观察组并发症发生率显著低于对照组(P<0.05)。结论:预见性护理干预可明显改善经鼻蝶入路垂体瘤切除术患者睡眠质量,降低并发症风险。

Objective:To investigate the effect of predictive nursing on sleep quality in patients undergoing transsphenoidal approach for pituitary adenoma resection.Methods:Sixty patients with transsphenoidal approach for pituitary adenoma resection were enrolled.All patients were treated in our hospital from September 2018 to September 2019.They were randomly divided into experimental group and routine group,and 30 patients in the routine group received the basis.Nursing,30 patients in the experimental group received pre-existing care,and the sleep quality and complications of the two groups were observed.Results:The sleep time(1.3±0.4)points,sleep time(1.1±0.2),sleep disturbance(1.2±0.4),and sleep quality score(1.2±0.3)were significantly lower in the experimental group than in the conventional group.(2.3±0.5)points,sleep time(2.1±0.4)points,sleep disturbance(2.3±0.5)points,and sleep quality score(2.4±0.6)points(P<0.05).One of the 30 patients in the experimental group had hyperthermia,2 diabetes insipidus,and 0 intracranial secondary hematoma.The complication rate was 10.0%.Of the 30 patients in the conventional group,4 had hyperthermia,5 had diabetes insipidus,and 1 had intracranial secondary hematoma.The complication rate was 33.3%.The incidence of complications in the experimental group was significantly lower than that in the conventional group(P<0.05).Conclusion:Predictive nursing intervention can significantly improve the sleep quality and reduce the risk of complications in patients undergoing transsphenoidal approach for pituitary adenoma.