摘要
目的分析针对性预防护理对高龄颅内肿瘤术后呼吸系统感染的影响。方法将2016年1月—2017年12月在本院接受颅内肿瘤术的100例高龄患者作为研究对象,根据随机双盲法进行分组。对照组50例,接受常规护理干预;观察组50例,在对照组基础上实施针对性预防护理。对比两组术后呼吸系统感染等并发症发生情况、护理满意度,观察干预前后患者简易精神状态检查表(MMSE)、日常生活能力量表(ADL)、洛文斯顿认知功能量表(LOTCA)、疼痛数字评分法(NRS)及肿瘤患者生活质量量表(EORTC QLQ-C30)评分变化情况。结果观察组术后肺部感染及电解质紊乱发生率为2.00%、4.00%,均比对照组的16.00%、18.00%低,差异有统计学意义(P<0.05);干预后观察组MMSE(3.86±1.03)分、LOTCA(10.15±2.64)分、ADL评分(25.82±4.62)分均比对照组高,NRS评分(2.14±0.43)分比对照组低,差异有统计学意义(P<0.05);干预后观察组躯体、角色、认知及社会功能评分均比对照组高,差异有统计学意义(P<0.05);观察组护理总满意度为94.00%(47/50),比对照组的80.00%(40/50)高,差异有统计学意义(P<0.05)。结论针对性预防护理应用于高龄颅内肿瘤术中利于降低术后呼吸系统感染发生风险,可提高患者精神状态、日常生活能力,改善其认知功能及生活质量,有助于建立和谐患护关系,利于患者康复。
Objective To analyze the effect of targeted preventive nursing on respiratory system infection after senile intracranial tumor surgery.Methods 100 senile patients with intracranial tumor surgery from January2016 to December 2017 were divided into two groups by random double-blind method. Control group（ n = 50） was given routine nursing intervention,while observation group（ n = 50） was given targeted preventive nursing based on control group. The complications and nursing satisfaction after surgery were compared between the two groups.The changes of mini mental status examination（ MMSE）, activity of daily living（ ADL）, loewenstein occupational therapy cognitive assessment（ LOTCA）,numerical rating scale（ NRS）,European organization for research and treatment of cancer（ EORTC QLQ-C30） of patients before and after intervention were observed.Results The incidence of postoperative pulmonary infection and electrolyte disturbance in observation group were2.00% and 4.00%,which were lower than 16.00% and 18.00% in control group（ P〈0.05）; After intervention,the scores of MMSE,LOTCA,ADL,NRS in observation group [（ 3.86±1.03） points,（ 10.15±2.64） points,（ 25.82±4.62） points,（ 2.14±0.43） points]were lower than those in control group（ P〈0.05）; After intervention,the scores of body,role,cognition and social function in observation group were higher than those in control group（ P〈0.05）; The total nursing satisfaction of observation group [94. 00%（ 47/50） ]was higher than control group[80.00%（ 40/50） ]（ P〈0.05）. Conclusions Targeted preventive nursing in senile intracranial tumor surgery can decrease the risks of postoperative respiratory system infection,increase patients＇ mental state and activity of daily living,improve cognitive function and living quality,establish harmonious nurse-patient relationship and promote patients＇ recovery.
作者
伏丹丹
FU Dan-dan(Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College ＆ Yijishan Hospital, Wuhu , Anhui, 241000, China)
出处
《齐齐哈尔医学院学报》
2018年第5期602-605,共4页
Journal of Qiqihar Medical University
关键词
高龄
颅内肿瘤术
针对性预防护理
呼吸系统感染
康复效果
Senile
Intracranial tumor surgery
Targeted preventive nursing
Respiratory systeminfection
Rehabilitation effect
