程序化护理干预在颅脑肿瘤患者护理中的应用效果

Application Effect of Programmed Nursing Intervention in Nursing of Patients with Craniocerebral Tumor

目的:分析程序化护理干预对颅脑肿瘤患者负性情绪及术后压疮的影响。方法:选取2020年1月—2022年12月贵港市人民医院收治52例颅脑肿瘤手术治疗患者。遵循随机单盲分组原则将患者分为对照组、观察组,各26例,对照组围手术期给予常规护理,观察组围手术期给予程序化护理干预。比较两组负性情绪、希望水平、生活质量和术后压疮情况。结果:干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、Herth希望指数量表(HHI)评分、欧洲癌症治疗研究组织生命质量测定量表(EORTC-QLQ-C30)评分比较,差异无统计学意义(P>0.05)。干预后,两组SAS评分、SDS评分均低于干预前,且观察组评分低于对照组,差异有统计学意义(P<0.05)。干预后,两组HHI各项评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组压疮发生率低于对照组,压疮愈合平均时间短于对照组,差异有统计学意义(P<0.05)。干预后,观察组EORTC-QLQ-C30各项评分均高于对照组,差异有统计学意义(P<0.05)。结论:程序化护理干预有助于改善颅脑肿瘤患者的负性情绪,降低术后压疮风险性,提升患者希望水平,改善患者生活质量。

Objective:To analyze the effect of programmed nursing intervention on negative emotions and postoperative pressure ulcers in patients with craniocerebral tumor.Method:A total of 52 patients treated with craniocranial tumor surgery in Guigang People's Hospital from January 2020 to December 2022 were selected,and the patients were divided into control group and observation group according to the principle of random single blind grouping,with 26 cases in each group.The control group received routine nursing during perioperative period,and the observation group received programmed nursing intervention during perioperative period.Negative emotion,hope level,quality of life and postoperative pressure ulcer were compared between the two groups.Result:Before intervention,there were no significant differences in self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,Herth hope index scale(HHI)score and European Organization for Research in Cancer Treatment quality of life scale questionnaire core 30(EORTC-QLQ-C30)score between the two groups(P>0.05).After intervention,the scores of SAS and SDS in both groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,HHI scores in both groups were higher than those before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of pressure ulcer in the observation group was lower than that in the control group,and the average healing time of pressure sore was shorter than that in the control group,the differences were statistically significant(P<0.05).After intervention,EORTC QLQ-C30 scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Programmed nursing intervention is helpful to improve the negative emotions of patients with craniocerebral tumor,reduce the risk of postoperative pressure ulcer,enhance the level of hope of patients,and improve the quality of life of patients.