神经外科开颅手术患者再次手术的临床护理干预探讨

Discussion on Clinical Nursing Intervention of Craniotomy Patients Undergoing Surgery Again in Department of Neurosurgery

目的探讨神经外科开颅手术患者再次进行手术时的临床护理干预方法,为临床护理提供相关依据。方法选取2015年3月至2016年10月本院收治的神经外科开颅手术再次手术患者80例作为本次研究的对象,随机分为观察组与对照组,每组各40例。其中应用常规护理方法对对照组患者进行护理,在常规护理方法的基础上应用综合护理干预措施对观察组患者进行护理,对比分析两组患者的死亡率、治疗依从性、护理满意度以及术后并发症发生情况。结果观察组有2例患者死亡,对照组有7例患者死亡,两组比较差异具有统计学意义(P<0.05);观察组患者的治疗依从率为95.0%,对照组患者的治疗依从率为82.5%,两组比较差异具有统计学意义(P<0.05);观察组患者的护理满意度为94.7%,对照组患者的护理满意度为81.8%,两组比较差异具有统计学意义(P<0.05);观察组患者的并发症发生率为7.5%,对照组患者的并发症发生率为47.5%,两组比较差异具有统计学意义(P<0.05)。结论良好的护理措施有助于提高神经外科开颅手术再次手术患者的治疗依从性以及对护理工作的满意度,降低患者的死亡率以及并发症发生率,值得临床推广应用。

Objective To explore the clinical nursing intervention methods for craniotomy patients undergoing surgery again in department of neurosurgery, so as to provide the relevant basis for clinical nursing. Methods 80 cases of patients with craniotomy underwent surgery again from March 2015 to October 2016 in the department of neurosurgery in our hospital were selected and were randomly divided into the observation group and the control group, 40 cases in each group. The control group received routine nursing, on the basis of routine nursing methods, comprehensive nursing intervention was applied to the patients in the observation group, the mortality, treatment compliance, nursing satisfaction and postoperative complications of the two groups were compared and analyzed. Results 2 patients died in the observation group, and 7 patients died in the control group, and the difference between the two groups was statistically significant(P<0.05);the treatment compliance rate of the observation group was 95.0%, and the treatment compliance rate of the control group was 82.5%, the difference between the two groups was statistically significant(P<0.05);the patient's degree of satisfaction of the observation group was 94.7%, and the patient's degree of satisfaction in the control group was 81.8%, the difference between the two groups was statistically significant(P<0.05);the complication rate of the observation group was 7.5%, and the complication rate of the control group was 47.5%, the difference between the two groups was statistically significant(P<0.05). Conclusion Good nursing intervention is helpful to improve the treatment compliance and degree of satisfaction for nursing work of patients with craniotomy underwent surgery again, reduce the incidence of mortality and complications, which is worthy of clinical application.