舒适护理在神经内镜下经鼻蝶入路垂体瘤切除术患者围术期的应用效果

Application effect of comfort nursing in perioperative period of patients undergoing neuroendoscopic trans-nasal-sphenoidal pituitary tumor resection

目的探讨舒适护理对神经内镜下经鼻蝶入路垂体瘤切除术患者围术期的影响。方法选择2018年4月至2020年3月于本院行神经内镜下经鼻蝶入路垂体瘤切除术治疗的60例患者作为研究对象,根据其收治入院时间进行分组,将收治入院时间为2018年4月至2019年3月的患者作为参照组(30例,实施常规护理),将收治入院时间为2019年4月至2020年3月的患者作为研究组(30例,实施常规护理+舒适护理)。观察和比较两组患者护理满意率、并发症发生情况、舒适度评分、住院时间、抑郁评分。结果研究组护理满意率(93.33%)高于参照组(70.00%),差异有统计学意义(P<0.05);研究组并发症总发生率(3.33%)低于参照组(20.00%),差异具有统计学意义(P<0.05)。研究组患者舒适度评分为(4.12±0.20)分,低于参照组的(7.57±0.29)分,研究组住院时间为(4.52±0.33)d,短于参照组的(8.63±1.28)d,差异有统计学意义(P<0.05)。护理前,两组抑郁评分比较,差异无统计学意义(P>0.05);护理后,两组抑郁评分均显著降低,且研究组降低程度更高,差异有统计学意义(P<0.05)。结论在神经内镜下经鼻蝶入路垂体瘤切除术围术期中实施舒适护理,可有效提高患者护理舒适度,缓解抑郁情绪,进而显著提高其护理满意度,减少并发症的发生,缩短住院时间。

Objective To explore the effect of comfort nursing in the perioperative period of patients undergoing neuroendoscopic trans-nasal-sphenoidal pituitary tumor resection.Methods Sixty patients who underwent neuroendoscopic trans-nasal-sphenoidal pituitary tumor resection in our hospital from April 2018 to March 2020 were selected as the research objects.They were grouped according to their admission time.The 30 patients from April 2018 to March 2019 were enrolled as the reference group with routine nursing,and 30 patients from April 2019 to March 2020 were enrolled as the study group with routine nursing and comfort nursing.The nursing satisfaction rate,complications,comfort score,hospital stay,and depression score of the two groups were observed and compared.Results The nursing satisfaction rate of the study group(93.33%)was higher than that of the reference group(70.00%),and the difference was statistically significant(P<0.05).The total incidence of complications in the study group(3.33%)was lower than that of the reference group(20.00%),and the difference was statistically significant(P<0.05).The comfort score of the patients in the study group was(4.12±0.20)points,which was lower than the(7.57±0.29)points of the reference group.The study hospitalization time was(4.52±0.33)days,which was shorter than the reference group(8.63±1.28)days,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in depression scores between ttwo groups(P>0.05).After nursing,the depression scores of the two groups were significantly reduced,and the degree of depression in the study group was higher,and the difference was statistically significant(P<0.05).Conclusion The implementation of comfort nursing during the perioperative period of neuroendoscopic transnasal pituitary tumor resection can effectively improve the patient′s nursing comfort degree,relieve depression,and significantly improve their nursing satisfaction degree,reduce complications,and shorten hospitalization time.