摘要
目的探讨集束化护理对脑胶质瘤患者手术应激反应和临床疗效的影响。方法选取2013年10月至2016年10月间内江市第一人民医院收治的84例脑胶质瘤患者,根据患者护理方式的不同分为观察组与对照组,每组42例。观察组患者在常规护理模式的基础上给予集束化护理干预,对照组患者采用常规护理模式,回顾性分析两组患者入院时(T0)、术前1d(T1)、气管插管前(T2)、手术结束时(T3)及手术后3d时(T4)的临床资料,比较分析两组患者的临床指标、血清应激标志物和心理状况及护理满意度。结果两组患者T1-3时的心率与收缩压均明显高于T0时,差异有统计学意义(P<0.05),观察组T4时的心率与收缩压与T0时比较,差异无统计学意义(P>0.05),对照组T4时的心率与收缩压明显高于T0时,差异有统计学意义(P<0.05)。观察组T1-4时的心率与收缩压均明显低于对照组,差异有统计学意义(P<0.05)。两组患者T1-4时的血清IL-6水平及皮质醇均明显高于T0时,观察组T1-4时的血清IL-6及皮质醇水平明显低于对照组(P<0.05)。T4时,两组患者SAS、SDS评分比护理前均降低,差异有统计学意义(P<0.05);观察组患者T1、T4时的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论对脑胶质瘤患者采用集束化护理进行干预,可以明显降低患者应激反应程度,维持患者生命体征稳定,改善患者心理状况,提高护理满意度,值得临床应用。
Objective To investigate the effect of cluster nursing on the stress response and clinical efficacy in patients with glioma. Methods A total of 84 patients with brain glioma treated at Neijiang First People＇s Hospital from October 2013 to October 2016 were selected. The patients were divided into an observation group and a control group according to the nursing strategies with 42 patients in each group. The observation group was given cluster nursing intervention and the control group was given conventional nursing. The clinical data of the two groups was retrospectively analyzed. The clinical indexes,serum stress markers,psychological status and nursing satisfaction were compared between the two groups at admission（ T0）,1 d before the surgery（ T1）,before intubation（ T2） at the end of the surgery（ T3） and at 3 d after the surgery（ T4）. Results The heart rate and systolic pressure were higher in the two groups at T1 to T3 than at T0（ all P〈0. 05）. There was no significant difference in heart rate and systolic blood pressure between T0 and T4 the in the observation group（ P〉0. 05）. In the control group,heart rate and systolic blood pressure at T4 were significantly higher than at T0（ P〈0. 05）. The heart rate and systolic blood pressure were significantly lower in the observation group at T1 to T4 than in the control group（ all P〈0. 05）. The serum levels of IL-6 and cortisol in the two groups were higher at T1 to T4 than at T0（ all P〈0. 05）. IL-6 and cortisol levels were significantly lower in the observation group than in the control group（ all P〈0. 05）. At T4,the scores of SAS and SDS decreased in the two groups compared with before the nursing care（ all P〈0. 05）. At T1 and T4,SAS and SDS scores were lower in the observation group than in the control group（ all P〈0. 05）. The satisfaction with nursing was higher in the observation group than in the control group（ all P〈0. 05）. Conclusion Cluster nursing intervention can obviously reduce the
作者
潘韦行
夏云
严芳
PAN Wei-xing;XIA Yun;YAN Fang(Department of Neurosurgery, Neijiang First People＇s Hospital, Neijiang 641000, Neijiang, China)
出处
《中国肿瘤临床与康复》
2018年第4期492-496,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
四川省卫生厅科研课题(17PJ188)
关键词
集束化护理
脑胶质瘤
应激反应
临床疗效
Cluster nursing
Brain glioma
Stress reactions
Clinical efficacy
